Organization Active NPI

Partners United for Life Saving Education

  • Ambulance
  • Whitehall, MT
National Provider Identifier
1154788834
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
PARTNERS UNITED FOR LIFE SAVING EDUCATION
Practice address
6 N. Brooke Street
121 W Legion
Whitehall, MT 59759
Phone
(406) 491-2753
Fax
(406) 287-9248
NPI assigned
Jan 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Authorized official

Name
Denise Bausch
Title
Secretary/Treasurer
Phone
(406) 491-2753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X MT Primary

Addresses

Primary practice location

6 N. Brooke Street
121 W Legion
Whitehall, MT 59759

Mailing address

PO Box 511
121 W Legion
Whitehall, MT 59759-0511
Phone (406) 491-2753

Other names 1

  • Jefferson Valley EMS & Rescue Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160830002009 MT Part B Supplier - Ambulance Service Supplier 7517252505 Practice locations: Whitehall, MT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D2107900Pulse Dba Jefferson Valley EMS and Rescue6 N Brooke St, Whitehall, MT 59759Certificate of waiverJan 24, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1154788834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511",
            "address_2": "121 W LEGION",
            "city": "WHITEHALL",
            "state": "MT",
            "postal_code": "597590511",
            "telephone_number": "406-491-2753",
            "fax_number": "406-287-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 N. BROOKE STREET",
            "address_2": "121 W LEGION",
            "city": "WHITEHALL",
            "state": "MT",
            "postal_code": "59759",
            "telephone_number": "406-491-2753",
            "fax_number": "406-287-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS UNITED FOR LIFE SAVING EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "BAUSCH",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "406-491-2753"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Valley EMS & Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitehall, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.