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INTERNATIONAL LIFE SUPPORT INC NPI 1013967769


NPI Information

NPI: 1013967769
Provider Name: INTERNATIONAL LIFE SUPPORT INC

Doing Business As: AMERICAN MEDICAL RESPONSE (AMR)

Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 12D2266521

Address:
99-1379 KOAHA PL
AIEA, HI
ZIP 96701
Phone: (808) 487-4900
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INTERNATIONAL LIFE SUPPORT INC is an ambulance in Aiea, HI. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). INTERNATIONAL LIFE SUPPORT INC NPI is 1013967769. The provider is registered as an organization entity type.
The provider Is Doing Business As American Medical Response (amr).

The provider's business location address is:

99-1379 KOAHA PL
AIEA, HI
ZIP 96701-269
Phone: (808) 487-4900
Fax: (808) 486-1765

The provider's authorized official is Eric Thomas .
The authorized official title is Svp Of Revenue Management and has the following contact phone number (833) 703-2294.

The CLIA number assigned to this NPI record is 12D2266521 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 1/26/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416L0300XAmbulanceLand TransportNo
2341600000XAmbulanceYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100833702MEDICAIDHAWAII
2HI0000D100228OTHERHAWAIISECTION 1011
38391OTHERHAWAIIBCBS

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.