ANACONDA-DEER LODGE COUNTY NPI 1811064397

NPI Information

NPI: 1811064397
Provider Name: ANACONDA-DEER LODGE COUNTY
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 27D2267451

Address:
420 W COMMERCIAL AVE
ANACONDA, MT
ZIP 59711
Phone: (406) 563-2164
Get Directions

ANACONDA-DEER LODGE COUNTY is a land transport ambulance in Anaconda, MT. ANACONDA-DEER LODGE COUNTY NPI is 1811064397. The provider is registered as an organization entity type.

The provider's business location address is:

420 W COMMERCIAL AVE
ANACONDA, MT
ZIP 59711-172
Phone: (406) 563-2164

The provider's authorized official is Rj Tocher .
The authorized official title is Ambulance Supervisor and has the following contact phone number (406) 563-2164.

The CLIA number assigned to this NPI record is 27D2267451 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 11/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	001	MONTANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	441701	MEDICAID	MONTANA
2	590059327	OTHER	MONTANA	RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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