Organization Active NPI

Lifenet, Inc.

Doing business as Arch Air Medical Service, Inc.

  • Air Ambulance
  • Springfield, IL
National Provider Identifier
1225350952
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
04 486001 Issued in IL
Legal business name
LIFENET, INC.
Doing business as
Arch Air Medical Service, Inc.
Practice address
800 E Carpenter St
Springfield, IL 62702-5324
Phone
(909) 915-2303
Fax
(402) 952-2411
NPI assigned
Feb 22, 2010
Last updated
Feb 22, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
LIFENET, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Authorized official

Name
Mark Keene
Title
VP of Operations
Phone
(909) 915-2301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X 04 486001 IL Primary

Addresses

Primary practice location

800 E Carpenter St
Springfield, IL 62702-5324

Mailing address

621 Carnegie Dr
Ste 210
San Bernardino, CA 92408-3536
Phone (909) 915-2303

Other names 1

  • Arch Air Medical Service, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arch Air Medical Service30 organizations share this tax ID, including this one
Part of
Arch Air Medical Service

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1225350952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 CARNEGIE DR",
            "address_2": "STE 210",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083536",
            "telephone_number": "909-915-2303",
            "fax_number": "402-952-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CARPENTER ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025324",
            "telephone_number": "909-915-2303",
            "fax_number": "402-952-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFENET, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFENET, INC.",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "909-915-2301"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "IL",
            "license": "04 486001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arch Air Medical Service, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.