LIFENET, INC. (NPI# 1225350952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225350952 |
| Entity Type | Organization |
| Organization Name | LIFENET, INC. |
| Other Organization Name | ARCH AIR MEDICAL SERVICE, INC. |
| Practice Address |
800 E Carpenter St Springfield IL 62702-5324 |
| Mailing Address |
621 Carnegie Dr Ste 210 San Bernardino CA 92408-3536 |
| Practice Telephone | 9099152303 |
| Practice Fax Number | 4029522411 |
| Mailing Telephone | 9099152303 |
| Mailing Fax Number | 4029522411 |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |
| Authorized Official Name | MARK KEENE (VP OF OPERATIONS) |
| Authorized Official Telephone | 9099152301 |
| Is Organization Subpart | Y |
| Parent Organization Name | LIFENET, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
04 486001 | IL | Transportation Services |
| Other Name | Type Code |
|---|---|
| Arch Air Medical Service, Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553896 | Lifenet, Inc. | Ambulance | 4309 Centegra Dr, Mchenry, IL 60050-1200 | 2020-06-19 |
| 1093272999 | Lifenet, Inc. | Ambulance | 430 N Airport Rd, Murphysboro, IL 62966 | 2019-02-27 |
| 1407399280 | Lifenet, Inc. | Ambulance | 2207 Scott Ave, Saint Louis, MO 63103-3031 | 2016-11-28 |
| 1316246648 | Lifenet, Inc. | Ambulance | 257 Old Rock Rd, Granite City, IL 62040-6860 | 2011-03-25 |
| 1891928685 | Lifenet, Inc. | Ambulance | 306 Professional Park Ave, Effingham, IL 62401-2939 | 2009-08-27 |
| 1538168372 | Lifenet, Inc. | Ambulance | 1310 Airport Rd, Sullivan, MO 63080-5206 | 2005-07-14 |
| 1770585812 | Lifenet, Inc. | Ambulance | 6300 Hampton Rd, Texarkana, TX 75503-0007 | 2005-06-01 |
| 1376195768 | Lifenet, Inc. | Ambulance | 800 E Locust St, Olney, IL 62450-2553 | 2019-07-15 |
| 1962945543 | Lifenet, Inc. | Ambulance | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2016-11-30 |
| 1801255849 | Lifenet, Inc. | Ambulance | 12866 Troxler Ave, Highland, IL 62249-2806 | 2016-02-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | LIFENET, INC. | Summerfield Park, 800 Falmouth Rd., Suite 200, Mashpee, MA 02649 |
| Oklahoma Business Registrations | LIFENET, INC. | 6225 St. Michael Dr, Texarkana, TX 75503 |
| Street Address |
800 E CARPENTER ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-5324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683656 | Mounir F Banoub | Anesthesiology | 800 E Carpenter St, Springfield, IL 62702-5324 | 2005-07-21 |
| 1649897315 | Karen M Stuckey | Registered Nurse | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-06-29 |
| 1679190581 | Natalie Kay Strope | Registered Nurse | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-06-26 |
| 1114542404 | Michael J Hohm | Physician Assistant | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-06-11 |
| 1528681145 | Steven David Sumpter | Nurse Anesthetist, Certified Registered | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-05-19 |
| 1679193387 | Jennifer Aumann | Nurse Anesthetist, Certified Registered | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-04-22 |
| 1396365102 | Lauren Aileen Gregory | Registered Nurse | 800 E Carpenter St, Springfield, IL 62769-1000 | 2020-04-22 |
| 1801420559 | Jia Dong | Nurse Anesthetist, Certified Registered | 800 E Carpenter St, Springfield, IL 62769-0002 | 2020-03-02 |
| 1790322469 | Sarah Hoppe | Occupational Therapist | 800 E Carpenter St, Springfield, IL 62769-1000 | 2019-12-02 |
| 1902442411 | Abigail Clark | Speech-Language Pathologist | 800 E Carpenter St, Springfield, IL 62769-1000 | 2019-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 3416A0800X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Air Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124452735 | Rocky Mountain Holdings LLC Dba Air Methods Kentucky | Ambulance | 598 Airport Ln, Springfield, KY 40069-9607 | 2013-08-30 |
| 1558573410 | Mercy Hospital Springfield | Ambulance | 1407 E Saint Louis St, Springfield, MO 65802-3125 | 2007-05-04 |
| 1194087601 | Rocky Mountain Holdings LLC | Ambulance | 601 N Laurel St, Springfield, GA 31329-6816 | 2012-06-11 |
| 1346485786 | Arch Air Medical Service Inc | Ambulance | 800 E Carpenter St, Springfield, IL 62767-0001 | 2008-12-15 |
| 1578680286 | Lester E. Cox Medical Centers | Ambulance | 3801 S National Ave, Springfield, MO 65807-5210 | 2007-03-26 |
| 1578504056 | Mercy Hospital Springfield | Ambulance | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553896 | Lifenet, Inc. | Ambulance | 4309 Centegra Dr, Mchenry, IL 60050-1200 | 2020-06-19 |
| 1093272999 | Lifenet, Inc. | Ambulance | 430 N Airport Rd, Murphysboro, IL 62966 | 2019-02-27 |
| 1114490455 | Air Evac Ems, Inc. | Ambulance | 2181 Vadalabene Dr, Maryville, IL 62062-5633 | 2019-01-09 |
| 1104338425 | Air Evac Ems, Inc. | Ambulance | 3666 N Il 130, Olney, IL 62450-4741 | 2017-10-26 |
| 1124555693 | Air Evac Ems, Inc. | Ambulance | 7894 N County Road 1050e, Mattoon, IL 61938-8523 | 2017-05-16 |
| 1417481912 | Air Evac Ems, Inc. | Ambulance | 529 E Grant St, Macomb, IL 61455-3313 | 2017-04-12 |
| 1225585904 | Air Evac Ems, Inc. | Ambulance | 635 Il Route 127, Greenville, IL 62246-3541 | 2016-09-09 |
| 1770036436 | Air Evac Ems, Inc. | Ambulance | 177 Vince Ashley Dr, Harrisburg, IL 62946-2400 | 2016-07-29 |
| 1992141949 | Osf Aviation, LLC | Ambulance | 1400 S Johanson Rd, Peoria, IL 61607-1119 | 2013-05-17 |
| 1326325499 | Lifenet, Inc | Ambulance | 3300 Vector Dr, Cahokia, IL 62206-1457 | 2011-11-03 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
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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.