LIFECARE AMBULANCE INC. NPI 1790742781

NPI Information

LIFECARE AMBULANCE, INC. is an ambulance in Elyria, OH. 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). LIFECARE AMBULANCE, INC. NPI is 1790742781. The provider is registered as an organization entity type.

The provider's business location address is:

205 WEST AVENUE
ELYRIA, OH
ZIP 44035-309
Phone: (440) 323-6111
Fax: (440) 365-2266

The provider's authorized official is Peter C. Andre De La Porte .
The authorized official title is President and has the following contact phone number (440) 323-6111.

The CLIA number assigned to this NPI record is 36D0724409 - mobile lab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 10/4/2011.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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