LIFESTAT OF NEO CO NPI 1447395470

NPI Information

NPI: 1447395470
Provider Name: LIFESTAT OF NEO CO

Other Name: LIFELINE EMS

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
102 N ELM PL
SUITE G
BROKEN ARROW, OK
ZIP 74012
Phone: (918) 258-6579
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LIFESTAT OF NEO CO is a land transport ambulance in Broken Arrow, OK. LIFESTAT OF NEO CO NPI is 1447395470. The provider is registered as an organization entity type.
The provider Other Name Is Lifeline Ems.

The provider's business location address is:

102 N ELM PL
SUITE G
BROKEN ARROW, OK
ZIP 74012-883
Phone: (918) 258-6579
Fax: (918) 258-6500

The provider's authorized official is Benny Brott .
The authorized official title is Ceo and has the following contact phone number (918) 258-6579.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 8/22/2020.

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	387	OKLAHOMA	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: 4/28/2024

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