Life Flight Network LLC

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

License

2610 Issued in OR

Legal business name

LIFE FLIGHT NETWORK LLC

Practice address

22285 Yellow Gate Lane
Suite 102
Aurora, OR 97002

Phone

(503) 678-4364

Fax

(503) 678-4369

NPI assigned

Aug 22, 2007

Last updated

Jan 14, 2022By 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

Adam Osborne

Title

Chief Executive Officer

Phone

(503) 678-4364

Specialties & licenses 9

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, WA, ID, MT, HI7 enrollments

Enrollment records 7

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 4

Organizations this organization is a member of, according to the National Provider Directory.

• Legacy Emanuel Hospital & Health Center

  • Diagnostic Radiology Physician
  • Saint Helens, OR
  • NPI 1417978008

  Member Of

  NPD member
• Oregon Health & Science University

  dba OHSU Intercultural Psychiatric Program (OHSU IPP)

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, OR
  • NPI 1851460638

  Member Of

  NPD member
• Providence Health & Services - Oregon

  dba Providence Medical Group

  • Internal Medicine Physician
  • Portland, OR
  • NPI 1609938471

  Member Of

  NPD member
• Saint Alphonsus Regional Medical Center Inc

  dba Saint Alphonsus Medical Group Elm

  • Rural Health Clinic/Center
  • Caldwell, ID
  • NPI 1508198813

  Member Of

  NPD member

Locations (25 of 45)

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christy Weinfurtner

  • Optometric Assistant Technician
  • Aloha, OR
  • NPI 1932563780
  NPD
• Jacob B Korolak

  • Paramedic
  • Aurora, OR
  • NPI 1114871944
  NPD (past)
• Thomas Lorish, MD

  • Physical Medicine & Rehabilitation Physician
  • Portland, OR
  • NPI 1013992387
  NPD (past)
• Michael R. Barsotti, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Spokane, WA
  • NPI 1619930211
  NPD (past)
• Lori J Morgan, MD

  • Surgery Physician
  • Tacoma, WA
  • NPI 1942233572
  NPD (past)
• Kyle Sanborn

  • Flight Registered Nurse
  • Belgrade, MT
  • NPI 1861368920
  NPD (past)

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1386837367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22285 YELLOW GATE LANE",
            "address_2": "SUITE 102",
            "city": "AURORA",
            "state": "OR",
            "postal_code": "97002",
            "telephone_number": "503-678-4364",
            "fax_number": "503-678-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22285 YELLOW GATE LANE",
            "address_2": "SUITE 102",
            "city": "AURORA",
            "state": "OR",
            "postal_code": "97002",
            "telephone_number": "503-678-4364",
            "fax_number": "503-678-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE FLIGHT NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "503-678-4364"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "OR",
            "license": "2610",
            "primary": true
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "WA",
            "license": "AIRV.ES.60019210",
            "primary": false
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "ID",
            "license": "1036",
            "primary": false
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "MT",
            "license": "909",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "2610",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "AIRV.ES.60019210",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ID",
            "license": "1036",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MT",
            "license": "723",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Sunshine Flanagan, ND
• Sarah M. Geisler, R.N.
• Gretchen L Hittle, MD
• Angela Kristin Kopshy, MM, MT-BC
• Jacob B Korolak
• Monica Rudestam
• Daniel James Keegan O'Connell, LCSW
• Mary Jane Peterson, PHD
• Monica Rudestam, LAC
• Robin Schaefer, D.C., L.AC.

• Air Ambulance in Aurora, OR
• Providers in Aurora, OR by specialty
• Air Ambulance in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.