LIFENET, INC (NPI# 1588092373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588092373 |
| Entity Type | Organization |
| Organization Name | LIFENET, INC |
| Other Organization Name | REACT AIR MEDICAL |
| Practice Address |
2850 Glenwood Ave Rockford IL 61101-3543 |
| Mailing Address |
621 Carnegie Dr Ste 205 San Bernardino CA 92408-3536 |
| Practice Telephone | 9099152315 |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2013-10-15 |
| Authorized Official Name | MR. MARK KEENE (VP, PATIENT BUSINESS SERVICES) |
| Authorized Official Telephone | 9099152301 |
| Is Organization Subpart | Y |
| Parent Organization Name | ARCH AIR MEDICAL SERVICE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
161785 | IL | Transportation Services |
| Other Name | Type Code |
|---|---|
| REACT Air Medical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396001665 | Lifenet, Inc | Ambulance | 18098 E 54 Hwy, Nevada, MO 64772-8012 | 2012-04-11 |
| 1326325499 | Lifenet, Inc | Ambulance | 3300 Vector Dr, Cahokia, IL 62206-1457 | 2011-11-03 |
| 1437439692 | Lifenet, Inc | Ambulance | 23810 County Farm Rd, Joliet, IL 60431-9255 | 2011-08-19 |
| 1679872907 | Lifenet, Inc | Ambulance | 10125 Airport Rd, Sparta, IL 62286-3245 | 2011-03-25 |
| 1497093694 | Lifenet, Inc | Ambulance | 5841 S Maryland Ave, Mc 0952 Rm C038, Chicago, IL 60637-1447 | 2013-01-22 |
| 1710231634 | Lifenet, Inc | Ambulance | 604 Fairgrounds Rd, Warrenton, MO 63383-4420 | 2012-10-30 |
| 1366741605 | Lifenet, Inc | Ambulance | 1 Skyview Dr, Litchfield, IL 62056-4654 | 2011-03-25 |
| 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 |
2850 GLENWOOD AVE |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61101-3543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699932665 | Peggy Lynn Wagner | Nurse Practitioner | 2850 Glenwood Ave, React, Rockford, IL 61101-3543 | 2008-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417338799 | Latavia Shantaye Agada | Social Worker | 2823 Glenwood Ave., Rockford, IL 61101 | 2015-06-12 |
| 1013397561 | Charlene Donahoe | Student in an Organized Health Care Education/Training Program | 235 Wyman St, Rockford, IL 61101 | 2015-05-30 |
| 1205238623 | Crusaders Central Clinic Association | Clinic/Center | 1002 N Pierpont Ave, Rockford, IL 61101 | 2014-09-17 |
| 1780717454 | Hearing Pros Inc | Audiologist | 3902 West Riverside Blvd, In Wal Mart, Rockford, IL 61101 | 2007-03-13 |
| 1821156951 | Neurological Clinic of Rockford Sc | Neurological Surgery | 2825 Glenwood Avenue, Rockford, IL 61101 | 2006-12-04 |
| 1265470496 | Daniel Sommer | Social Worker | 2823 Glenwood Avenue, Rockford, IL 61101 | 2006-06-02 |
| 1508093253 | Patricia Kroll | Social Worker | 526 W State Street, Rockford, IL 61101 | 2009-06-19 |
| 1346462330 | Carol J O'haron | Social Worker | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
| 1356563332 | Lynn E Cadmus | Social Worker | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
| 1083836928 | Carol L Craig | Psychiatry & Neurology | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
| Find all providers in zip 61101 | ||||
| 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 |
|---|---|---|---|---|
| 1134235898 | Saint Anthony Medical Center | Ambulance | 5666 E State St, Rockford, IL 61108-2425 | 2006-08-22 |
| 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 | ||||
Please comment or provide details below to improve the information on LIFENET, INC.
| 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.