Life Care Medical, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LIFE CARE MEDICAL, INC.

Practice address

104 Park St
Sterling, CO 80751-4135

Phone

(970) 522-6802

Fax

(970) 251-9960

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Douglas Dean Smith, MSM, EMT-P

Title

Ceo

Phone

97052268022

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1124154133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PARK ST",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514135",
            "telephone_number": "970-522-6802",
            "fax_number": "970-251-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PARK ST",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514135",
            "telephone_number": "970-522-6802",
            "fax_number": "970-251-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "97052268022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSM, EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06627533",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Sterling, CO
• Providers in Sterling, CO by specialty
• Land Ambulance in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.