Organization Active NPI

Lifeline Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Chilhowie, VA
National Provider Identifier
1578637765
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0206008393 Issued in VA
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010303206MedicaidVA

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.