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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
470 | VA | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 096163 | ANTHEM | 01 |
Street Address |
1728 NORTON ROAD SW |
City | WISE |
State | VA |
Zip Code | 24293-1069 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104442367 | New Hope Addiction Recovery Inc | Family Medicine | 106 Spring Avenue Ne, Wise, VA 24293 | 2020-06-23 |
1225652340 | Jessica Wertz | Technician | 7507 Caddo Rd, Wise, VA 24293 | 2020-06-04 |
1831743632 | Ttgi2 LLC | Pharmacy | 426 West Main Street, Wise, VA 24293 | 2019-07-30 |
1861919730 | Mckenzie Grace Trotter | Speech-Language Pathologist | 324 School Ave Southeast, Wise, VA 24293 | 2017-08-23 |
1043734023 | 3 Guys Transport LLC | Non-emergency Medical Transport (VAN) | 5519 Pole Bridge Road, Wise, VA 24293 | 2017-08-01 |
1013352699 | Tester Chiropractic LLC. | Chiropractor | 411 East Main Street, Wise, VA 24293 | 2013-05-08 |
1861737181 | Family Preservation Services, Inc | Community/Behavioral Health | 5913 Airport Road, Wise, VA 24293 | 2012-11-28 |
1255614749 | Family Preservation Services, Inc | Community/Behavioral Health | 342 School Street, Wise, VA 24293 | 2011-09-21 |
1891013520 | Wise Rescue Squad Inc | Ambulance | 302 Railroad Ave, Wise, VA 24293 | 2010-05-05 |
1477784148 | Family Preservation Services, Inc. | Community/Behavioral Health | 117 Independence Avenue, Wise, VA 24293 | 2009-07-29 |
Find all providers in zip 24293 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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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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.