| Organization Name: | LIFE LINE AMBULANCE SERVICE INC |
| NPI Number: | 1043214372 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIMOTHY DORN (CFO) |
| Mailing Address: | 1099 W Iron Springs Rd Prescott |
| State: | AZ US |
| Postal Code: | 863051621 |
| Phone Number: | 9284453814 |
| Fax Number: | 9287781477 |
| NPI Enumeration Date: | 06/01/2005 |
| NPI Last Update Date: | 08/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 341600000X |
| License Number: | EMS2878 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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). |