OSF LIFELINE AMBULANCE LLC NPI 1619036829

NPI Information

  • NPI: 1619036829
  • Provider Name: OSF LIFELINE AMBULANCE, LLC
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • Address: 318 ROXBURY RD
    ROCKFORD, IL
    ZIP 61107
  • Phone: (815) 395-4695

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NPI Details

OSF LIFELINE AMBULANCE, LLC is a land transport ambulance in Rockford, IL. OSF LIFELINE AMBULANCE, LLC NPI is 1619036829. The provider is registered as an organization entity type.

The provider's business location address is:

318 ROXBURY RD
ROCKFORD, IL
ZIP 61107-090
Phone: (815) 395-4695
Fax: (805) 395-4643

The provider's authorized official is James M Moore .
The authorized official title is Ceo and has the following contact phone number (309) 655-2850.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ground mileage, per statute mile (HCPCS:A0425)
  • Ambulance service, basic life support, non-emergency transport, (bls) (HCPCS:A0428)
  • Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)
  • Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)
  • Specialty care transport (sct) (HCPCS:A0434)
  • Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) (HCPCS:A0426)

The enumeration date for this NPI number is 12/6/2006 and was last updated on 4/9/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand TransportYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1471203OTHERILLINOISBLUE CROSS
2=========001MEDICAIDILLINOIS
3207199MEDICARE PINILLINOIS
4P00073030MEDICARE ID-TYPE UNSPECIFIEDILLINOISRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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