Organization · Type 2 NPI

Lakeside Qru, Inc

Land Ambulance · Lakeside, MT

NPI number 1205875978 Active

Practice location

201 Bills Rd
Lakeside, MT 59922

Call (406) 844-2775 Map

Fax (406) 844-3663

Mailing address

PO Box 2458
Eureka, MT 59917-2458

Specialties and licenses

Taxonomy	Code	License
Land Ambulance Primary	3416L0300X	152 (MT)

Land Ambulance: Definition to come...

NPI record

NPI: 1205875978
Entity type: Organization (Type 2)
Issued: Jun 6, 2006
Last updated: May 19, 2020
Status: Active

Other names

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Upper West Shore Quick Response Unit · other name
Upper West Shore Quick Response Unit · other name

Authorized official

Jordan Owen
Executive Director
(406) 844-2775

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205875978

Lakeside Qru, Inc's National Provider Identifier is 1205875978, issued on Jun 6, 2006. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Lakeside, MT. The record was last updated on May 19, 2020.