LIFECARE MEDICAL TRANSPORT LLC NPI 1639560832

NPI Information

NPI: 1639560832
Provider Name: LIFECARE MEDICAL TRANSPORT LLC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 11D2252218

Address:
112 FOXWOOD DR
BLAIRSVILLE, GA
ZIP 30512
Phone: (706) 994-3536
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LIFECARE MEDICAL TRANSPORT LLC is a land transport ambulance in Blairsville, GA. LIFECARE MEDICAL TRANSPORT LLC NPI is 1639560832. The provider is registered as an organization entity type.

The provider's business location address is:

112 FOXWOOD DR
BLAIRSVILLE, GA
ZIP 30512-683
Phone: (706) 994-3536

The provider's authorized official is Anthony Joseph Olson .
The authorized official title is Member and has the following contact phone number (706) 994-3536.

The CLIA number assigned to this NPI record is 11D2252218 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2015 and was last updated on 2/9/2015.

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
1	3416L0300X	Ambulance	Land Transport			Yes

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: 5/5/2024

NPI Synchronization or Removal

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