Active NPI
Lifeline Medical, Inc.
- Durable Medical Equipment & Medical Supplies
- Chilhowie, VA
National Provider Identifier
1578637765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0206008393
- Legal business name
- LIFELINE MEDICAL, INC.
- Practice address
- 116 Lee Highway
Chilhowie, VA 24319 - Phone
- (276) 646-5030
- Fax
- (276) 646-2223
- NPI assigned
- Nov 20, 2006
- Last updated
- Feb 8, 2012
- 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
- Mrs. Karla Little Campbell
- Title
- VP
- Phone
- (276) 646-5030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0206008393 | VA | Primary |
Addresses
Primary practice location
116 Lee Highway
Chilhowie, VA 24319
Mailing address
PO Box 1370
116 West Lee Highway
Chilhowie, VA 24319-1370
Phone (276) 646-5030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010303206 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
116 W Lee Hwy
Chilhowie, VA 24319
Phone (276) 646-5030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328659200000",
"number": "1578637765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1370",
"address_2": "116 WEST LEE HIGHWAY",
"city": "CHILHOWIE",
"state": "VA",
"postal_code": "243191370",
"telephone_number": "276-646-5030",
"fax_number": "276-646-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 LEE HIGHWAY",
"city": "CHILHOWIE",
"state": "VA",
"postal_code": "24319",
"telephone_number": "276-646-5030",
"fax_number": "276-646-2223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFELINE MEDICAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2012-02-08",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "KARLA",
"authorized_official_middle_name": "LITTLE",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "276-646-5030",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "VA",
"license": "0206008393",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010303206",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chilhowie, VA
- Sherry Hawson, PTA
- Healthstat Inc Scholle Chilhowie
- K VA T Food Stores Inc (Food City Pharmacy)
- Kimberley L. Kimberlin, SPEECH LANGUAGE PATH
- Christina K Lawson, PHARM D
- Lisa Cregger
- Kevin L Littreal, LICENSED PHYSICAL TH
- Jennifer Jo Lowe, CPNP-PC
- Elizabeth H. Martin, LICENSED PHYSICAL TH
- Victoria McClanahan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.