NPIMap

Organization Active NPI

Life-Force Ambulance, Inc.

  • Land Ambulance
  • Dallas, GA
National Provider Identifier
1487957387
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
LIFE-FORCE AMBULANCE, INC.
Practice address
361 W Memorial Dr
Dallas, GA 30132-4136
Phone
(770) 693-8692
Fax
(678) 401-5833
NPI assigned
Dec 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Roger C Burgess, NREMT-I85
Title
Director
Phone
(770) 693-8692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X GA Primary

Addresses

Primary practice location

361 W Memorial Dr
Dallas, GA 30132-4136

Mailing address

361 W Memorial Dr
Dallas, GA 30132-4136
Phone (770) 693-8692

National Provider Directory

National Provider Directory
Tax ID family
Life-Force Ambulance2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

361 W Memorial Dr
Dallas, GA 30132
Phone (770) 693-8692

NPI Registry JSON

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1487957387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 W MEMORIAL DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301324136",
            "telephone_number": "770-693-8692",
            "fax_number": "678-401-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 W MEMORIAL DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301324136",
            "telephone_number": "770-693-8692",
            "fax_number": "678-401-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE-FORCE AMBULANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-693-8692",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NREMT-I85"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.