AMERICAN LIFELINE MEDICAL TRANSPORT INC (NPI# 1992752505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992752505 |
Entity Type | Organization |
Organization Name | AMERICAN LIFELINE MEDICAL TRANSPORT INC |
Practice Address |
1016 W Danville St South Hill VA 23970-3604 |
Mailing Address |
Po Box 555 Windsor NC 27983-0555 |
Practice Telephone | 4344472213 |
Mailing Telephone | 2527949141 |
Mailing Fax Number | 2527949127 |
Enumeration Date | 2006-05-28 |
Last Update Date | 2016-01-28 |
Authorized Official Name | MR. EDWARD LEE LIPSCOMB (OWNER) |
Authorized Official Telephone | 2527949141 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
VA | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 010156777 | 05 |
Street Address |
1016 W DANVILLE ST |
City | SOUTH HILL |
State | VA |
Zip Code | 23970-3604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043784606 | Elizabeth Jene Ezell | Dental Hygienist | 604 N. Thomas St., South Hill, VA 23970 | 2019-01-17 |
1821576901 | Mackenzie Jean Blackwell | Dental Hygienist | 604 N. Thomas St, South Hill, VA 23970 | 2018-08-01 |
1316459357 | Bernita Danica Boyd | Contractor | 436 Theater Rd, South Hill, VA 23970 | 2017-10-31 |
1194242909 | More Transport LLC | Non-emergency Medical Transport (VAN) | 651 Clearview Dr, South Hill, VA 23970 | 2017-08-23 |
1912423534 | Larry D Warren | Driver | 730 Hite Street, Po Box 896, South Hill, VA 23970 | 2017-08-15 |
1902320658 | Lakika Lyshon Hicks | Non-emergency Medical Transport (VAN) | 74 Hudgins Road, South Hill, VA 23970 | 2017-08-02 |
1053835561 | Vernice Luevine Lewis | Driver | 11525 Highway One, South Hill, VA 23970 | 2017-07-27 |
1407376924 | Building Blocks To Success LLC | Occupational Therapist | 20429 Hwy Forty-seven, South Hill, VA 23970 | 2017-06-26 |
1316477136 | Eric Blackwell | Driver | 248 Circle Dr, South Hill, VA 23970 | 2017-06-14 |
1619341443 | North View Day Support LLC | Day Training, Developmentally Disabled Services | 359 Saffold Road, South Hill, VA 23970 | 2015-11-17 |
Find all providers in zip 23970 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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City | SOUTH HILL |
Zip Code | 23970 |
Please comment or provide details below to improve the information on AMERICAN LIFELINE MEDICAL TRANSPORT 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.