Lifecare Ambulance Service, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

470 Issued in VA

Legal business name

LIFECARE AMBULANCE SERVICE, INC.

Practice address

1728 Norton Road SW
Wise, VA 24293-1069

Phone

(276) 679-4375

Fax

(276) 679-2866

NPI assigned

Aug 19, 2005

Last updated

Mar 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia Ann Carico

Title

Administrative Assistant

Phone

(276) 679-4375

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1205828779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1069",
            "address_2": "1728 NORTON ROAD SW",
            "city": "WISE",
            "state": "VA",
            "postal_code": "242931069",
            "telephone_number": "276-679-4375",
            "fax_number": "276-679-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 NORTON ROAD SW",
            "city": "WISE",
            "state": "VA",
            "postal_code": "242931069",
            "telephone_number": "276-679-4375",
            "fax_number": "276-679-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "CARICO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "276-679-4375"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "096163",
            "identifier": "ANTHEM",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Kilgore, LPCC
• Robert Dwayne Kilgore, DMD
• Labxperior Corporation (Labxperior)
• Crystal Large, FNP
• Martha A Leonard, LPC
• Lincare Inc.
• Livewell Family Health, PC
• Lutheran Family Service of VA
• Sarabeth Marshall
• Matthew Jessee Chiropractic PC (Highlands Chiropractic & Wellness Clinic)

• Land Ambulance in Wise, VA
• Providers in Wise, VA by specialty
• Land Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.