LIFECARE AMBULANCE SERVICE, INC.


Address: 1728 Norton Road Sw, Wise, VA 24293-1069
Phone: 2766794375

LIFECARE AMBULANCE SERVICE, INC. (NPI# 1205828779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205828779
Entity Type Organization
Organization Name LIFECARE AMBULANCE SERVICE, INC.
Practice Address 1728 Norton Road Sw
Wise
VA 24293-1069
Mailing Address Po Box 1069
1728 Norton Road Sw
Wise
VA 24293-1069
Practice Telephone 2766794375
Practice Fax Number 2766792866
Mailing Telephone 2766794375
Mailing Fax Number 2766792866
Enumeration Date 2005-08-19
Last Update Date 2008-03-11
Authorized Official Name PATRICIA ANN CARICO (ADMINISTRATIVE ASSISTANT)
Authorized Official Telephone 2766794375
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3416L0300X Ambulance
Specialization: Land Transport
470 VA Transportation Services

Other Provider Identifier

State Issuer Identifier Type Code
VA 096163 ANTHEM 01

Office Location

Street Address 1728 NORTON ROAD SW
City WISE
State VA
Zip Code 24293-1069

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Taxonomy Information

Taxonomy Code 3416L0300X
Grouping Transportation Services
Classification Ambulance
Specialization Land Transport

Taxonomy Definition

Definition to come...
Notes: [1/1/2005: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891013520 Wise Rescue Squad Inc Ambulance 302 Railroad Ave, Wise, VA 24293 2010-05-05
1356311476 Friendship Ambulance Service Inc Ambulance 119 W Main St, Wise, VA 24293 2006-01-23

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Competitor

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City WISE
Zip Code 24293

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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