Life Ambulance Service Inc.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

LIFE AMBULANCE SERVICE INC.

Practice address

5720 Trowbridge Dr Ste B
El Paso, TX 79925-3358

Phone

(915) 772-1642

NPI assigned

Jan 20, 2021

Organization subpart

No

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

Authorized official

Name

Rachel Burch Harracksingh

Title

President

Phone

(915) 772-1642

Specialties & licenses 1

Addresses

Other names 1

• Life Mass Immunization Other name

Locations

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1891385191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26486",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799266486",
            "telephone_number": "915-772-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 TROWBRIDGE DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253358",
            "telephone_number": "915-772-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE AMBULANCE SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "HARRACKSINGH",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "BURCH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-772-1642"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Mass Immunization",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Octavio Licon, MD
• Oscar Licon, LMT
• Lidia Estefany Licona
• Joel Kenneth Lien, RD,LD
• Life Ambulance Service Inc.
• Life Care Chiropractic & Rehabilitation Centers
• Life Journey Counseling LLC
• Lifeworks Services, LLC
• Evan Andrew Liggett, MD
• Catherine Lightbourn, PT

• Non-Pharmacy Dispensing Site in El Paso, TX
• Providers in El Paso, TX by specialty
• Non-Pharmacy Dispensing Site in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.