Active NPI
Partners United for Life Saving Education
- Ambulance
- Whitehall, MT
National Provider Identifier
1154788834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160830002009 | MT | Part B Supplier - Ambulance Service Supplier | 7517252505 | Practice locations: Whitehall, MT |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 27D2107900 | Pulse Dba Jefferson Valley EMS and Rescue | Certificate of waiver | Jan 24, 2028 |
National Provider Directory
National Provider DirectoryNPI 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.