SHC 2021 LLC
NPI 1912573965
Ambulance - Air Transport in Sidney, MT

NPI Status: Active since June 01, 2021

Contact Information

544 AIRPORT RD
SIDNEY, MT
ZIP 59270
Phone: (406) 488-2117
Fax: (406) 488-2115

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  • Organization
  • Ambulance
  • Air Transport
  • Accepts Insurance
  • CLIA Number: 27D2237972
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 09-28-2027

About SHC 2021 LLC

This page provides the complete NPI Profile along with additional information for Shc 2021 Llc, a provider established in Sidney, Montana operating as a Ambulance, focusing in air transport . The healthcare provider is registered in the NPI registry with number 1912573965 assigned on June 2021. The practitioner's primary taxonomy code is 3416A0800X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Jacob Keller (President)

NPI
1912573965
Provider Legal Name
SHC 2021 LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
544 AIRPORT RD SIDNEY, MT 59270
Location Phone
(406) 488-2117
Location Fax
(406) 488-2115
Mailing Address
2403 AIR CARGO DR GRAND FORKS, ND 58203
Mailing Phone
(406) 488-2036
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-01-2021
Last Update Date
03-07-2025
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ambulance Air Transport

Taxonomy Code
3416A0800X
Type
Transportation Services

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Preferred Bronze PPO? 201 - PPO
  • Blue Preferred Bronze PPO? 202 - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Preferred Gold PPO? 204 - PPO
  • Blue Preferred Gold PPO? 901 - PPO
  • Blue Preferred Gold PPO? Standard - PPO
  • Blue Preferred Security PPO? 200 - PPO
  • Blue Preferred Silver PPO? 203 - PPO
  • Blue Preferred Silver PPO? 308 - PPO
  • Blue Preferred Silver PPO? Standard - PPO
  • Peak PPO Bronze HDHP - PPO
  • Peak PPO Bronze Standard - PPO
  • Peak PPO Catastrophic - PPO
  • Peak PPO Gold - PPO
  • Peak PPO Gold Standard - PPO
  • Peak PPO Silver - PPO
  • Peak PPO Silver Standard - PPO
  • Plus Bronze - PPO
  • Plus Bronze Standard - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • PEAK PPO BRONZE - PPO
  • PEAK PPO BRONZE HDHP - PPO
  • PEAK PPO GOLD - PPO
  • PEAK PPO GOLD HDHP - PPO
  • PEAK PPO SILVER - PPO
  • PEAK PPO SILVER HDHP - PPO
  • Plus Bronze HDHP - PPO
  • Plus Gold HDHP - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JACOB KELLER

Authorized Official Title
PRESIDENT
Authorized Official Phone
(406) 488-2036

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Ambulance service, conventional air services, transport, one way (fixed wing)

An ambulance service, specifically a fixed-wing air service, is a specialized method of patient transport. It uses an aircraft, rather than a ground vehicle, to quickly and safely move patients over long distances or inaccessible areas to a medical facility.

This service was performed 130 times for 122 patients

Fixed wing air mileage, per statute mile

Fixed wing air mileage, per statute mile, is a term used in medical transportation. It refers to the distance covered by a fixed wing aircraft, like an airplane, during medical evacuation or transport. The cost of this service is often calculated on a per-mile basis.

This service was performed 31,771 times for 123 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
27D2237972
Facility Type
Ambulance
Certificate Effective Date
September 29, 2025
Certificate Expiration Date
September 28, 2027
Laboratory Director
JACOB R. KELLER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Shc 2021 Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SHC 2021 LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1912573965, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 5 → 10 → 1 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 2 + 2 + 1 + 0 + 7 + 6 + 9 + 1 + 2 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1912573965.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912573965, enumerated as an "organization" on June 01, 2021.

The provider is located at 544 AIRPORT RD SIDNEY, MT 59270 and the phone number is (406) 488-2117.

Ambulance with taxonomy code 3416A0800X and a focus in Air Transport.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana and Mountain. Please consult your insurance carrier or call the provider to verify.