Organization Active NPI

Lifeline Ambulance Service Inc

  • Ambulance
  • Christiansburg, VA
National Provider Identifier
1023011392
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
494 Issued in VA
Legal business name
LIFELINE AMBULANCE SERVICE INC
Practice address
310 Bell Rd
Christiansburg, VA 24073-2402
Phone
(540) 381-7480
Fax
(540) 381-7472
NPI assigned
May 31, 2005
Last updated
Jul 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James Carroll Jones Jr.
Title
Ceo
Phone
(540) 382-1813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 494 VA Primary

Addresses

Primary practice location

310 Bell Rd
Christiansburg, VA 24073-2402

Mailing address

310 Bell Rd
Christiansburg, VA 24073-2402
Phone (540) 381-7480

Other identifiers 2

IdentifierTypeStateIssuer
009000038MedicaidVA
9000038MedicaidVA

National Provider Directory

National Provider Directory

Locations

3090 Aspen Ave
Richmond, VA 23228
Phone (540) 381-7480

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1023011392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 BELL RD",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240732402",
            "telephone_number": "540-381-7480",
            "fax_number": "540-381-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BELL RD",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240732402",
            "telephone_number": "540-381-7480",
            "fax_number": "540-381-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CARROLL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-382-1813",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009000038",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000038",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.