Medlife Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0635 Issued in IN

Legal business name

MEDLIFE INC

Practice address

12 N State St
Sullivan, IN 47882-1550

Phone

(812) 268-9882

Fax

(812) 268-9852

NPI assigned

Jul 10, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andy Metheny

Title

General Manager

Phone

(812) 268-9882

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1740214758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 383",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478820383",
            "telephone_number": "812-268-9882",
            "fax_number": "812-268-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N STATE ST",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478821550",
            "telephone_number": "812-268-9882",
            "fax_number": "812-268-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLIFE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "METHENY",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "812-268-9882"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia Health Systems 49, LLC (Breckenridge Commons Residential Facility)
• Kortni Reann Martindale, SLP
• Mary Ann Chavez DO (Sullivan Medical Clinic)
• Mary Ann Chavez DO PC
• Amanda Matthews-Hargrave, LMHC, LCAC
• Eric Morse
• Mso Clinics, Inc.
• Mso Clinics, Inc. (FPA QuickCare)
• Mso Clinics, Inc. (Lakeside Family Medical)
• Mso Clinics, Inc.

• Land Ambulance in Sullivan, IN
• Providers in Sullivan, IN by specialty
• Land Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.