JOHNSON LIFE CARE, INC (NPI# 1619933470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619933470 |
| Entity Type | Organization |
| Organization Name | JOHNSON LIFE CARE, INC |
| Other Organization Name | JOHNSON LIFE CARE AMBULANCE |
| Practice Address |
310 West Main Street Lynch KY 40855 |
| Mailing Address |
Po Box 728 Lynch KY 40855-0728 |
| Practice Telephone | 6068482861 |
| Practice Fax Number | 6068482409 |
| Mailing Telephone | 6068482861 |
| Mailing Fax Number | 6068482409 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2011-11-04 |
| Authorized Official Name | MR. DARREL VANOVER (OWNER) |
| Authorized Official Telephone | 6068482861 |
| Authorized Official Credential | EMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
1609 | KY | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010121078 | 05 | |
| KY | BLACK LUNG | 089589600 | 01 |
| KY | RAILROAD MEDICARE | 590011400 | 01 |
| TN | 4582350 | 05 | |
| KY | UNITED MINE WORKERS | 1416591 | 01 |
| KY | PASSPORT HEALTH | 50011660 | 01 |
| KY | BLUE CROSS BLUE SHIELD | 000000070292 | 01 |
| KY | 56004179 | 05 | |
| KY | 55048078 | 05 |
| Other Name | Type Code |
|---|---|
| Johnson Life Care Ambulance | Doing Business As Name - Organization |
| Street Address |
310 WEST MAIN STREET |
| City | LYNCH |
| State | KY |
| Zip Code | 40855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710537253 | Kelli Marie Smith | Nurse Practitioner | 401 S Fifth St, Lynch, NE 68746-3013 | 2019-09-17 |
| 1245717487 | Natalie Deann Rihanek | Student in an Organized Health Care Education/Training Program | 729 West Ponca Street, Lynch, NE 68746 | 2018-07-20 |
| 1578579249 | Dale William Block | General Practice | 4th and Ponca, 101 Main St, Lynch, NE 68746 | 2006-08-01 |
| 1063470953 | Niobrara Valley Hospital Corporation | Family Medicine | 401 S 5th St, Lynch, NE 68746-3013 | 2006-05-02 |
| 1326136847 | Niobrara Valley Hospital Corporation | General Acute Care Hospital | 401 S 5th St, Lynch, NE 68746-3013 | 2006-10-10 |
| 1538176292 | James Edwin Keil | Family Medicine | 4th and Ponca, Lynch, NE 68746 | 2006-08-02 |
| 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 |
|---|---|---|---|---|
| 1982235313 | Okolona Fire Protection District | Ambulance | 8501 Preston Hwy, Louisville, KY 40219-5301 | 2020-02-04 |
| 1528605532 | Fern Creek Fire Protection District Holding Company Inc. | Ambulance | 6200 Bardstown Rd, Louisville, KY 40291-3004 | 2019-12-09 |
| 1245875160 | Highview Fire Protection District | Ambulance | 7308 Fegenbush Ln, Louisville, KY 40228-1510 | 2019-11-14 |
| 1932742798 | Mercy Ambulance of Evansville Inc | Ambulance | 1101 Alsop Ln, Owensboro, KY 42303-0921 | 2019-10-24 |
| 1184267999 | Mercy Ambulance of Evansville Inc | Ambulance | 1049 S Lake Dr, Prestonsburg, KY 41653-1344 | 2019-10-24 |
| 1801439666 | Mercy Ambulance of Evansville Inc | Ambulance | 105 Dryhill Rd, Hyden, KY 41749-8929 | 2019-10-24 |
| 1740823590 | Mercy Ambulance of Evansville Inc | Ambulance | 3068 Highway 160 S, Hindman, KY 41822-9056 | 2019-10-24 |
| 1053954800 | Mercy Ambulance of Evansville Inc | Ambulance | 299 Island Creek Rd, Pikeville, KY 41501-9341 | 2019-10-24 |
| 1689217416 | Mercy Ambulance of Evansville Inc | Ambulance | 335 Industrial Park Rd, Harlan, KY 40831-2589 | 2019-10-24 |
| 1598324410 | Watts-caney Volunteer Fire Department, Inc | Ambulance | 11455 Highway 15 South, Lost Creek, KY 41348 | 2019-06-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JOHNSON LIFE CARE, 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.