Lakeside Qru, Inc
Lakeside Qru, Inc is a healthcare organization registered as Land Ambulance in Lakeside, MT, holding Type 2 (organization) NPI 1205875978 since 2006. The authorized official on file is Jordan Owen, Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205875978 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lakeside Qru, Inc |
| Other name | <Unavail> |
| Practice address | 201 BILLS RD, Lakeside, MT, 59922 |
| Phone | 4068442775 |
| Fax | 4068443663 |
| Enumeration date | 2006-06-06 |
| Last updated in NPPES | 2020-05-19 |
Authorized official
| Name | Jordan Owen |
|---|---|
| Title | Executive Director |
| Phone | 4068442775 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3416L0300X | Land Ambulance | Primary | 152 | MT |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 657682 | Other | MT | BC BS |
| 65762 | Other | MT | BLUE CROSS BLUE SHIELD |
| 0442238 | Medicaid | MT | — |
Copy-ready billing details
Provider: Lakeside Qru, Inc NPI: 1205875978 Taxonomy: 3416L0300X (Land Ambulance) Address: 201 BILLS RD, Lakeside, MT, 59922
Verify this record
Cross-check NPI 1205875978 against the authoritative CMS record: view Lakeside Qru, Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Lakeside Qru, Inc?
Who is the authorized official for Lakeside Qru, Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-05-19.