Lifenet, Inc
Organization Active NPI Air Ambulance · Rockford, IL
NPI 1588092373 · NPPES record last updated Oct 15, 2013
Key facts
- NPI
- 1588092373
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Air Ambulance 3416A0800X
- License
- 161785 (IL)
- Legal business name
- LIFENET, INC
- Practice address
- 2850 Glenwood Ave
Rockford, IL 61101-3543 - Phone
- (909) 915-2315
- NPI assigned
- Oct 15, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- ARCH AIR MEDICAL SERVICE INC
Authorized official
- Name
- Mr. Mark Keene
- Title
- VP, Patient Business Services
- Phone
- (909) 915-2301
Corporate family (same tax ID) 29
National Provider Directory
- Tax ID family
- Arch Air Medical Service
- Part of
- Arch Air Medical Service
Locations
2850 Glenwood Ave
Rockford, IL 61101
Phone (815) 971-4112
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | 161785 | IL | Yes |
Addresses
Primary practice location
2850 Glenwood Ave
Rockford, IL 61101-3543
Mailing address
621 Carnegie Dr
Ste 205
San Bernardino, CA 92408-3536
Other names
- REACT Air Medical
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.