Organization Active NPI

Life Medical Response, Inc.

  • Land Ambulance
  • Portsmouth, OH
National Provider Identifier
1871803593
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
730522 Issued in OH
Legal business name
LIFE MEDICAL RESPONSE, INC.
Practice address
729 6TH St
Portsmouth, OH 45662-4030
Phone
(740) 354-6169
Fax
(740) 355-9109
NPI assigned
Oct 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Authorized official

Name
Mr. Michael C Pistole
Title
Ceo/Owner
Phone
(740) 354-6169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 730522 OH Primary

Addresses

Primary practice location

729 6TH St
Portsmouth, OH 45662-4030

Mailing address

729 6TH St
Portsmouth, OH 45662-4030
Phone (740) 354-6169

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1871803593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 6TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624030",
            "telephone_number": "740-354-6169",
            "fax_number": "740-351-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 6TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624030",
            "telephone_number": "740-354-6169",
            "fax_number": "740-355-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE MEDICAL RESPONSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "PISTOLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "740-354-6169",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "730522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.