Lifeline Regional Ambulance, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

077 Issued in SC

Legal business name

LIFELINE REGIONAL AMBULANCE, INC.

Practice address

239 N Acline St
Lake City, SC 29560-2159

Phone

(843) 374-3911

Fax

(843) 394-9111

NPI assigned

Aug 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Lance Lane, EMT

Title

President

Phone

(843) 374-3911

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sabrina Gail O'Brien, M.D.

  • Internal Medicine Physician
  • Manning, SC
  • NPI 1699875013
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1164539284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 N ACLINE ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602159",
            "telephone_number": "843-374-3911",
            "fax_number": "843-394-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 N ACLINE ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602159",
            "telephone_number": "843-374-3911",
            "fax_number": "843-394-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE REGIONAL AMBULANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-374-3911",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SC",
            "license": "077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AB0243",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakeside Medical Response
• Benjamin Wade Lamb, M.D.
• Erin Lewis, FNP
• Pamela Lewis, FNP-C
• Sharon Lewis
• Live Oak Medical Center
• Live Oak Medical Center, PA
• Live Oak Medical Center, PA
• April Shawn Lockamy, FNP
• Loving Incare Agency

• Land Ambulance in Lake City, SC
• Providers in Lake City, SC by specialty
• Land Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.