LAKESIDE QRU INC NPI 1205875978

NPI Information

  • NPI: 1205875978
  • Provider Name: LAKESIDE QRU, INC
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • Other Name: UPPER WEST SHORE QUICK RESPONSE UNIT
  • CLIA Number: 27D2103044
  • Address: 201 BILLS RD
    LAKESIDE, MT
    ZIP 59922
  • Phone: (406) 844-2775

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NPI Details

LAKESIDE QRU, INC is a land transport ambulance in Lakeside, MT. LAKESIDE QRU, INC NPI is 1205875978. The provider is registered as an organization entity type.
The provider Other Name Is Upper West Shore Quick Response Unit.

The provider's business location address is:

201 BILLS RD
LAKESIDE, MT
ZIP 59922
Phone: (406) 844-2775
Fax: (406) 844-3663

The provider's authorized official is Jordan Owen .
The authorized official title is Executive Director and has the following contact phone number (406) 844-2775.

The CLIA number assigned to this NPI record is 27D2103044 - ambulance with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ground mileage, per statute mile (HCPCS:A0425)
  • Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)
  • Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)

The enumeration date for this NPI number is 6/6/2006 and was last updated on 5/19/2020.

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
13416L0300XAmbulanceLand Transport152MONTANAYes

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
10442238MEDICAIDMONTANA
265762OTHERMONTANABLUE CROSS BLUE SHIELD
3657682OTHERMONTANABC BS

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: 11/21/2025

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