Provider Demographics
NPI:1154788834
Name:PARTNERS UNITED FOR LIFE SAVING EDUCATION
Entity type:Organization
Organization Name:PARTNERS UNITED FOR LIFE SAVING EDUCATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUSCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-491-2753
Mailing Address - Street 1:PO BOX 511
Mailing Address - Street 2:121 W LEGION
Mailing Address - City:WHITEHALL
Mailing Address - State:MT
Mailing Address - Zip Code:59759-0511
Mailing Address - Country:US
Mailing Address - Phone:406-491-2753
Mailing Address - Fax:406-287-9248
Practice Address - Street 1:6 N. BROOKE STREET
Practice Address - Street 2:121 W LEGION
Practice Address - City:WHITEHALL
Practice Address - State:MT
Practice Address - Zip Code:59759
Practice Address - Country:US
Practice Address - Phone:406-491-2753
Practice Address - Fax:406-287-9248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-26
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance