NPIMap

Organization Active NPI

Lifenet, Inc

Doing business as REACT Air Medical

  • Air Ambulance
  • Rockford, IL
National Provider Identifier
1588092373
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
161785 Issued in IL
Legal business name
LIFENET, INC
Doing business as
REACT Air Medical
Practice address
2850 Glenwood Ave
Rockford, IL 61101-3543
Phone
(909) 915-2315
NPI assigned
Oct 15, 2013
Last updated
Oct 15, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
ARCH AIR MEDICAL SERVICE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Authorized official

Name
Mr. Mark Keene
Title
VP, Patient Business Services
Phone
(909) 915-2301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X 161785 IL Primary

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 1

  • REACT Air Medical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arch Air Medical Service30 organizations share this tax ID, including this one
Part of
Arch Air Medical Service

Other organizations with this tax ID 29

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

View all 29

Locations

2850 Glenwood Ave
Rockford, IL 61101
Phone (815) 971-4750

NPI Registry JSON

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1588092373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 CARNEGIE DR",
            "address_2": "STE 205",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 GLENWOOD AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611013543",
            "telephone_number": "909-915-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFENET, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARCH AIR MEDICAL SERVICE INC",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VP, PATIENT BUSINESS SERVICES",
        "authorized_official_telephone_number": "909-915-2301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "IL",
            "license": "161785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REACT Air Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; 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.