LIFENET INC NPI 1437439692

NPI Information

NPI: 1437439692
Provider Name: LIFENET, INC

Doing Business As: LIFESTAR

Classification: Ambulance - 3416A0800X
Entity Type: Organization

Specialization: Air Transport

Address:
23810 COUNTY FARM RD
JOLIET, IL
ZIP 60431
Phone: (800) 636-4438
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LIFENET, INC is an air transport ambulance in Joliet, IL. LIFENET, INC NPI is 1437439692. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifestar.

The provider's business location address is:

23810 COUNTY FARM RD
JOLIET, IL
ZIP 60431-255
Phone: (800) 636-4438

The provider's authorized official is Mark Raymond Keene .
The authorized official title is Senior Vice President and has the following contact phone number (909) 915-2301.

The enumeration date for this NPI number is 8/19/2011 and was last updated on 1/28/2015.

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	3416A0800X	Ambulance	Air Transport	08 8250	ILLINOIS	Yes

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
1	=========009	MEDICAID	ILLINOIS
2	583630	MEDICARE PIN	ILLINOIS

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: 11/14/2023

NPI Synchronization or Removal

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