Active NPI
Life Emergency Medical Service, Inc.
Doing business as Life EMS
- Land Ambulance
- Enid, OK
National Provider Identifier
1467455691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- EMS075
- Legal business name
- LIFE EMERGENCY MEDICAL SERVICE, INC.
- Doing business as
- Life EMS
- Practice address
- 302 W Maple Ave
Enid, OK 73701-3808 - Phone
- (580) 233-2245
- Fax
- (580) 242-0348
- NPI assigned
- May 23, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James S Johnson
- Title
- Owner/President
- Phone
- (580) 233-2245
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | EMS075 | OK | Primary |
Addresses
Primary practice location
302 W Maple Ave
Enid, OK 73701-3808
Mailing address
PO Box 365
Enid, OK 73702-0365
Phone (580) 233-2245
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00161773 | Other | OK | RAILROAD MEDICARE # |
| 730760393-001 | Other | OK | BCBS PROVIDER # |
Other names 1
- Life EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071130000658 | OK | Part B Supplier - Ambulance Service Supplier | 0749212785 | Practice locations: Enid, OK |
National Provider Directory
National Provider DirectoryLocations
321 W Elm Ave
Enid, OK 73701
Phone (580) 233-2247
302 W Maple Ave
Enid, OK 73701
Phone (580) 233-2245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192492800000",
"number": "1467455691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 365",
"city": "ENID",
"state": "OK",
"postal_code": "737020365",
"telephone_number": "580-233-2245",
"fax_number": "580-242-0348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 W MAPLE AVE",
"city": "ENID",
"state": "OK",
"postal_code": "737013808",
"telephone_number": "580-233-2245",
"fax_number": "580-242-0348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE EMERGENCY MEDICAL SERVICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-23",
"last_updated": "2007-10-16",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "580-233-2245",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "OK",
"license": "EMS075",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE #",
"identifier": "P00161773",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "730760393-001",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Life EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.