Basic Life Support, Inc.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

D05399766 Issued in AZ

Legal business name

BASIC LIFE SUPPORT, INC.

Practice address

2250 Hiway 95
#556
Bullhead City, AZ 86442-9013

Phone

(760) 559-3616

NPI assigned

Oct 2, 2007

Organization subpart

No

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

Authorized official

Name

Robert J Hall

Title

President

Phone

(760) 559-3616

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1134316284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 HIWAY 95",
            "address_2": "#556",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864429013",
            "telephone_number": "760-559-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 HIWAY 95",
            "address_2": "#556",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864429013",
            "telephone_number": "760-559-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIC LIFE SUPPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-559-3616"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "D05399766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "192341",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy G Barnard, NP
• Philip Charles Barnard, D.C.
• Amber Ann Barnes, NP-C
• Sheila Marie Barnett, RDH, DC
• Bashir Ahmed Azher PC
• Jim D. Bates, D.O.
• Karen Marie Baudouine, BSN
• Patrick Allan Beck, D.C.
• Christian Beesley
• Christopher J Berg, PA-C

• Non-emergency Medical Transport (VAN) in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Non-emergency Medical Transport (VAN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.