LIFELINE MOBILE MEDICS (NPI# 1497761886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497761886 |
| Entity Type | Organization |
| Organization Name | LIFELINE MOBILE MEDICS |
| Practice Address |
112 Southgate Dr #b Bloomington IL 61704-7639 |
| Practice Telephone | 3098288572 |
| Practice Fax Number | 3098273060 |
| Mailing Telephone | 3098288572 |
| Mailing Fax Number | 3098273060 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KEITH RICHARD DUTTON (CEO) |
| Authorized Official Telephone | 3098288572 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | IL | Transportation Services |
| Street Address |
112 SOUTHGATE DR #B |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-7639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205165032 | Bloomington Township Department of Fire and Emergency Services | Ambulance | 5081 N Old State Road 37, Bloomington, IN 47408-9240 | 2009-12-07 |
| 1568498079 | City of Bloomington | Ambulance | 310 N Lee St, Bloomington, IL 61701-3834 | 2006-06-25 |
| 1275862914 | Bloomington Fire Department | Ambulance | 300 E 4th St, Bloomington, IN 47408-3505 | 2009-12-09 |
| 1801046347 | Monroe Hospital Ambulance Service | Ambulance | 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 | 2008-09-21 |
| 1740226349 | Indiana University Health Bloomington Inc | Ambulance | 601 W 2nd St, Bloomington, IN 47403-2317 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980058 | Ivan V Knight | Ambulance | 322 Campbell Ave, Calumet City, IL 60409-2011 | 2020-10-19 |
| 1366064057 | Morris Fire & Ambulance Protection District | Ambulance | 2301 Ashton Rd, Morris, IL 60450-8615 | 2020-05-15 |
| 1821624966 | Covenant Health Ambulance Service, Inc | Ambulance | 1619b Weid Rd, Elgin, IL 60123-5825 | 2020-03-20 |
| 1053942920 | Village of Robbins | Ambulance | 3327 W 137th Street, Robbins, IL 60472-1636 | 2020-01-30 |
| 1093372187 | Vital Ambulance Services LLC | Ambulance | 18781 90th Ave., Suite A, Mokena, IL 60448 | 2019-05-23 |
| 1831668458 | Midway Ems | Ambulance | 5155 Torque Rd # B, Loves Park, IL 61111-7144 | 2018-11-14 |
| 1336637248 | Paramedic Services of Illinois, Inc. | Ambulance | 1222 W. Veterans Parkway, Yorkville, IL 60560-4728 | 2018-04-26 |
| 1255832564 | Lifeguard Ambulance Service of Illinois Inc. | Ambulance | 219 W Jackson St, Macomb, IL 61455 | 2018-02-22 |
| 1891293288 | Hamel Fire Protection District | Ambulance | 401 N Old Us Route 66, Hamel, IL 62046-1071 | 2018-01-31 |
| 1144761503 | Ah, LLC | Ambulance | 741 N Main St, Manteno, IL 60950-1254 | 2017-03-17 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
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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.