LIFE EMS INC NPI 1689621047

NPI Information

NPI: 1689621047
Provider Name: LIFE EMS INC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
1275 CEDAR ST NE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 458-0042
Get Directions

LIFE EMS INC is a land transport ambulance in Grand Rapids, MI. LIFE EMS INC NPI is 1689621047. The provider is registered as an organization entity type.

The provider's business location address is:

1275 CEDAR ST NE
GRAND RAPIDS, MI
ZIP 49503-378
Phone: (616) 458-0042
Fax: (616) 242-8825

The provider's authorized official is Mark D Meijer .
The authorized official title is President/owner and has the following contact phone number (616) 242-8805.

The enumeration date for this NPI number is 5/30/2006 and was last updated on 2/13/2023.

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	411005	MICHIGAN	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	3004925	MEDICAID	MICHIGAN

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

NPI Synchronization or Removal

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