Life Flight Network LLC
Organization Active NPI Air Ambulance · Aurora, OR
NPI 1386837367 · NPPES record last updated Jan 14, 2022
Key facts
- NPI
- 1386837367
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Air Ambulance 3416A0800X
- License
- 2610 (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
- Organization subpart
- No
Authorized official
- Name
- Adam Osborne
- Title
- Chief Executive Officer
- Phone
- (503) 678-4364
Member of 3
Practitioners 6
-
Thomas Lorish, MD
-
Michael R. Barsotti, M.D.
-
Lori J Morgan, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D1084549 | Life Flight Network, LLC | Certificate of waiver | May 26, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (7 enrollments) in OR, WA, ID, MT, HI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071121000189 | OR | Part B Supplier - Ambulance Service Supplier | 9234227455 | Practice locations: Ontario, OR; Warrenton, OR; Salem, OR; Redmond, OR; Pendleton, OR; Newport, OR; Lincoln City, OR; La Grande, OR… |
| O20080104000342 | WA | Part B Supplier - Ambulance Service Supplier | 9234227455 | Practice locations: Walla Walla, WA; Spokane, WA; Richland, WA; Renton, WA; Pullman, WA; Port Angeles, WA; Moses Lake, WA; Kelso, WA… |
| O20091109000556 | ID | Part B Supplier - Ambulance Service Supplier | 9234227455 | Practice locations: Boise, ID; Burley, ID; Eagle, ID; Hailey, ID; Hayden, ID; Lewiston, ID; Sandpoint, ID |
| O20130301000517 | WA | Part B Supplier - Ambulance Service Supplier | 9234227455 | Practice locations: Kennewick, WA; Richland, WA; Spokane, WA |
| O20130422000081 | OR | Part B Supplier - Ambulance Service Supplier | 9234227455 | Practice locations: Aurora, OR; Warrenton, OR; Redmond, OR; Pendleton, OR; La Grande, OR; Cottage Grove, OR; Ontario, OR |
| O20140723002522 | MT | Part B Supplier - Ambulance Service Supplier | 9234227455 | Practice locations: Butte, MT; Belgrade, MT; Missoula, MT |
| O20260206003295 | HI | Part B Supplier - Ambulance Service Supplier | 9234227455 | Practice locations: Hilo, HI; Kailua Kona, HI |
National Provider Directory
Locations (25 of 45)
4970 W Aeronca St
Boise, ID 83705
2779 S Liberty St
Boise, ID 83709
Phone (208) 362-4633
1050 Airport Way
Burley, ID 83318
Phone (208) 484-9584
1060 Airport Way
Burley, ID 83318
Phone (503) 678-4160
1616 Airport Cir
Hailey, ID 83333
2691 W Cessna Ave
Hayden, ID 83835
Phone (503) 894-2389
406 Burrell Ave
Bldg N6
Lewiston, ID 83501
540 Oconnor Rd
#W9
Lewiston, ID 83501
300 Deinhard Ln
McCall, ID 83638
Phone (208) 634-3980
2610 Airbase Rd
Hngr 9
Mountain Home, ID 83647
Phone (208) 587-4182
1100 Airport Way
Sandpoint, ID 83864
2118 Alpha
Sandpoint, ID 83864
440 Wings Way
Hngr 77
Belgrade, MT 59714
Phone (503) 444-0827
111 Airport Rd
Butte, MT 59701
5225 US Highway 10 W
Bldg Nw
Missoula, MT 59808
Phone (406) 591-1702
22285 Yellow Gate Ln NE
#P453804
Aurora, OR 97002
22285 Yellow Gate Ln NE
Ste 102
Aurora, OR 97002
14357 Keil Rd NE
Aurora, OR 97002
Phone (503) 678-4343
14367 Keil Rd NE
Aurora, OR 97002
800 Row River Rd
Cottage Grove, OR 97424
Phone (503) 505-4438
1705 W 2nd Ave
Eugene, OR 97402
Phone (541) 682-7100
1610 Airport Way
Hermiston, OR 97838
2050 NE 25th Ave
Hillsboro, OR 97124
60191 Pierce Rd
La Grande, OR 97850
135 SE 84th St
Newport, OR 97366
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | 2610 | OR | Yes |
| Air Ambulance | 3416A0800X | AIRV.ES.60019210 | WA | |
| Air Ambulance | 3416A0800X | 1036 | ID | |
| Air Ambulance | 3416A0800X | 909 | MT | |
| Land Ambulance | 3416L0300X | 2610 | OR | |
| Land Ambulance | 3416L0300X | AIRV.ES.60019210 | WA | |
| Land Ambulance | 3416L0300X | 1036 | ID | |
| Land Ambulance | 3416L0300X | 723 | MT | |
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
22285 Yellow Gate Lane
Suite 102
Aurora, OR 97002
Mailing address
22285 Yellow Gate Lane
Suite 102
Aurora, OR 97002
Phone (503) 678-4364
Other providers in Aurora, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.