LIFE STAT EMS NPI 1942962048

NPI Information

NPI: 1942962048
Provider Name: LIFE STAT EMS
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
3551 BALL GROUND HWY
CANTON, GA
ZIP 30114
Phone: (404) 987-6278
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LIFE STAT EMS is a land transport ambulance in Canton, GA. LIFE STAT EMS NPI is 1942962048. The provider is registered as an organization entity type.

The provider's business location address is:

3551 BALL GROUND HWY
CANTON, GA
ZIP 30114-411
Phone: (404) 987-6278
Fax: (678) 807-2631

The provider's authorized official is Michael L Waters .
The authorized official title is Billing Manager and has the following contact phone number (770) 490-3911.

The CLIA number assigned to this NPI record is 11D2240773 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2021 and was last updated on 1/20/2022.

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			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: 5/5/2024

NPI Synchronization or Removal

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