Organization Active NPI

SHC 2021 LLC

Doing business as Sidney Health Center Care Flight

  • Air Ambulance
  • Sidney, MT
National Provider Identifier
1912573965
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
Legal business name
SHC 2021 LLC
Doing business as
Sidney Health Center Care Flight
Practice address
544 Airport Rd
Sidney, MT 59270-3638
Phone
(406) 488-2117
Fax
(406) 488-2115
NPI assigned
Jun 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jacob Keller
Title
President
Phone
(406) 488-2036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X Primary

Addresses

Primary practice location

544 Airport Rd
Sidney, MT 59270-3638

Mailing address

2403 Air Cargo Dr
Grand Forks, ND 58203-8944
Phone (406) 488-2036

Other names 1

  • Sidney Health Center Care Flight Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211116001384 MT Part B Supplier - Ambulance Service Supplier 3870982606 Practice locations: Sidney, MT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D2237972SHC 2021, LLC Dba Sidney Health Center Care Flight544 Airport Road, Sidney, MT 59270Certificate of waiverSep 28, 2027

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

540 Airport Rd
Sidney, MT 59270

216 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

14127 Jensen Ln
Williston, ND 58801

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1912573965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 AIR CARGO DR",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582038944",
            "telephone_number": "406-488-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 AIRPORT RD",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "592703638",
            "telephone_number": "406-488-2117",
            "fax_number": "406-488-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHC 2021 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-488-2036"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sidney Health Center Care Flight",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sidney Health Center Care Flight",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sidney, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.