Lifeline Health Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

LIFELINE HEALTH CARE LLC

Practice address

704 Azalea Hill Dr
Yukon, OK 73099-6504

Phone

(405) 747-4835

Fax

(405) 467-4417

NPI assigned

Sep 25, 2019

Organization subpart

No

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

Authorized official

Name

Christi Vick, RN,MSN,APRN,CNP

Title

Owner/Operator

Phone

(405) 747-4835

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577145600000",
    "number": "1811548381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 AZALEA HILL DR",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996504",
            "telephone_number": "405-747-4835",
            "fax_number": "405-467-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 AZALEA HILL DR",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996504",
            "telephone_number": "405-747-4835",
            "fax_number": "405-467-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A",
        "authorized_official_last_name": "VICK",
        "authorized_official_first_name": "CHRISTI",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "405-747-4835",
        "authorized_official_credential": "RN,MSN,APRN,CNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14549721",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jimmy Ryan Leverette II
• Leverich & Leverich, DDS
• Ronnie Gene Leverich, DDS
• Ciara Nichole Lewis
• Paula M Lewis
• Victoria Lynn Lilly
• Kaleigh Limbaugh, RN, BHRS
• Lara Leigh Limke, CRNA
• Rebecca Ann Lindsey, PHD
• Sara Bailey Linhardt

• Urgent Care Clinic/Center in Yukon, OK
• Providers in Yukon, OK by specialty
• Urgent Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; 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.