Lifeline Ems Llc

LBN: Lifeline Ems Llc
Lifeline Ems Llc is an health care organization with primary practice located at 510 E Jackson Ave , West Memphis AR 72301-4336. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Lifeline Ems Llc can be contacted via phone (870) 735-9718, or through Tacito, Charlie Andrew via phone (901) 619-3127.

Contact Information

Primary practice address
510 E Jackson Ave West Memphis AR 72301-4336
Phone: (870) 735-9718
Fax: (870) 735-9718
Website:
Map and Directions
Authorized official contact:
Name: Tacito, Charlie Andrew EMT
Phone: (901) 619-3127

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 0000010018 Tennessee

Profile Details

NPI number 1174705859
LBN Legal business name Lifeline Ems Llc
DBA Doing business as
Authorized official Tacito, Charlie Andrew EMT
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2007
Last updated Jun 22nd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174705859 NPPES
Arkansas MEDICAID 186922715
Arkansas MEDICAID T000212

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