New Life Ambulance Service Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

#8377 Issued in IL

Legal business name

NEW LIFE AMBULANCE SERVICE INC.

Doing business as

New Life Ambulance

Practice address

4936 W Flournoy St
Chicago, IL 60644-5177

Phone

(708) 345-2640

Fax

(708) 345-3774

NPI assigned

Sep 30, 2008

Last updated

Nov 16, 2010By 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

Mr. Gordon Egbuna

Title

Administrator

Phone

(773) 454-3392

Specialties & licenses 1

Addresses

Other names 1

• NEW LIFE AMBULANCE Doing business as

Locations

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1336390004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1096",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601538096",
            "telephone_number": "708-345-2640",
            "fax_number": "708-345-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4936 W FLOURNOY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606445177",
            "telephone_number": "708-345-2640",
            "fax_number": "708-345-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE AMBULANCE SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "EGBUNA",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-454-3392",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "#8377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW LIFE AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Chicago, IL
• Providers in Chicago, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.