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Organization Active NPI

County of Wibaux

Doing business as Wibaux County Ambulance Service

  • Land Ambulance
  • Wibaux, MT
National Provider Identifier
1952474413
Registry record updated Aug 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
498 Issued in MT
Legal business name
COUNTY OF WIBAUX
Doing business as
Wibaux County Ambulance Service
Practice address
212 1St Ave. SW
Wibaux, MT 59353-0096
Phone
(406) 796-2841
Fax
(406) 796-2625
NPI assigned
Nov 15, 2006
Last updated
Aug 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2017

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

Authorized official

Name
Darin Miske
Title
County Commissioner
Phone
(406) 796-2481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 498 MT Primary

Addresses

Primary practice location

212 1St Ave. SW
Wibaux, MT 59353-0096

Mailing address

PO Box 199
Wibaux, MT 59353-0199
Phone (406) 796-2481

Other identifiers 1

IdentifierTypeStateIssuer
440128MedicaidMT

Other names 1

  • Wibaux County Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040122001178 MT Part B Supplier - Ambulance Service Supplier 1850205568 Practice locations: Wibaux, MT

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wibaux County Nursing HomeWibaux, MT, CCN 275079 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 8, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501804800000",
    "number": "1952474413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 199",
            "city": "WIBAUX",
            "state": "MT",
            "postal_code": "593530199",
            "telephone_number": "406-796-2481",
            "fax_number": "406-796-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 1ST AVE. SW",
            "city": "WIBAUX",
            "state": "MT",
            "postal_code": "593530096",
            "telephone_number": "406-796-2841",
            "fax_number": "406-796-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WIBAUX",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2017-08-04",
        "status": "A",
        "authorized_official_last_name": "MISKE",
        "authorized_official_first_name": "DARIN",
        "authorized_official_title_or_position": "COUNTY COMMISSIONER",
        "authorized_official_telephone_number": "406-796-2481"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MT",
            "license": "498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440128",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wibaux County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wibaux, MT

Sources for this page

Verify at the official NPI Registry.