Organization Name: | LIFENET, INC. |
NPI Number: | 1356762579 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK KEENE (VP, PATIENT BUSINESS SERVICES) |
Mailing Address: | 1310 Airport Rd Sullivan |
State: | MO US |
Postal Code: | 630805206 |
Phone Number: | 9099152315 |
Fax Number: | |
NPI Enumeration Date: | 12/16/2013 |
NPI Last Update Date: | 12/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416A0800X |
License Number: | 510092 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Air Transport |
Taxonomy Definition: |