Active NPI
Lifenet, Inc.
Doing business as PCRMC Phelps Air
- Air Ambulance
- Rolla, MO
National Provider Identifier
1255087730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- Legal business name
- LIFENET, INC.
- Doing business as
- PCRMC Phelps Air
- Practice address
- 1000 W 10TH St Ste 100
Rolla, MO 65401-2905 - Phone
- (800) 636-4438
- NPI assigned
- Feb 23, 2022
- Last updated
- Feb 23, 2022
- Organization subpart
- Yes
- Parent organization
- AIR METHODS CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon J Keck
- Title
- Cao
- Phone
- (303) 792-7400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | NU | Primary |
Addresses
Primary practice location
1000 W 10TH St Ste 100
Rolla, MO 65401-2905
Mailing address
PO Box 713383
Cincinnati, OH 45271-3383
Phone (800) 636-4438
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805156106 | Medicaid | MO |
Other names 1
- PCRMC Phelps Air
National Provider Directory
National Provider Directory- Tax ID family
- Arch Air Medical Service
- Part of
- Air Methods Corporation
Other organizations with this tax ID 29
Organizations that report the same tax identification number in the National Provider Directory.
-
- Air Ambulance
- Chesterfield, MO
- NPI 1851644025
-
- Air Ambulance
- Farmington, MO
- NPI 1700137619
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645574400000",
"number": "1255087730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713383",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452713383",
"telephone_number": "800-636-4438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W 10TH ST STE 100",
"city": "ROLLA",
"state": "MO",
"postal_code": "654012905",
"telephone_number": "800-636-4438"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFENET, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AIR METHODS CORPORATION",
"enumeration_date": "2022-02-23",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A",
"authorized_official_last_name": "KECK",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CAO",
"authorized_official_telephone_number": "303-792-7400"
},
"taxonomies": [
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805156106",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PCRMC Phelps Air",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rolla, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.