LIFENET, INC (NPI# 1326325499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326325499 |
| Entity Type | Organization |
| Organization Name | LIFENET, INC |
| Practice Address |
3300 Vector Dr Cahokia IL 62206-1457 |
| Mailing Address |
621 Carnegie Dr Ste. 210 San Bernardino CA 92408-3536 |
| Practice Telephone | 8006364438 |
| Mailing Telephone | 8006364438 |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2015-04-24 |
| Authorized Official Name | MARK RAYMOND KEENE (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 8006364438 |
| Is Organization Subpart | Y |
| Parent Organization Name | AIR METHODS CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
04 488302 | IL | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396001665 | Lifenet, Inc | Ambulance | 18098 E 54 Hwy, Nevada, MO 64772-8012 | 2012-04-11 |
| 1437439692 | Lifenet, Inc | Ambulance | 23810 County Farm Rd, Joliet, IL 60431-9255 | 2011-08-19 |
| 1679872907 | Lifenet, Inc | Ambulance | 10125 Airport Rd, Sparta, IL 62286-3245 | 2011-03-25 |
| 1588092373 | Lifenet, Inc | Ambulance | 2850 Glenwood Ave, Rockford, IL 61101-3543 | 2013-10-15 |
| 1497093694 | Lifenet, Inc | Ambulance | 5841 S Maryland Ave, Mc 0952 Rm C038, Chicago, IL 60637-1447 | 2013-01-22 |
| 1710231634 | Lifenet, Inc | Ambulance | 604 Fairgrounds Rd, Warrenton, MO 63383-4420 | 2012-10-30 |
| 1366741605 | Lifenet, Inc | Ambulance | 1 Skyview Dr, Litchfield, IL 62056-4654 | 2011-03-25 |
| Street Address |
3300 VECTOR DR |
| City | CAHOKIA |
| State | IL |
| Zip Code | 62206-1457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225015456 | William H Thom | Anesthesiology | 12 Wolf Creek, Suite 200, Swansea, IL 62206 | 2005-12-29 |
| 1891784823 | Steven G Connors | Chiropractor | 1518 Camp Jackson Rd, Cahokia, IL 62206 | 2005-10-21 |
| 1558661454 | David J Cruse Jr. | Pharmacist | 1615 Camp Jackson Rd, Cahokia, IL 62206 | 2010-10-25 |
| 1477866671 | Ca Group LLC | Internal Medicine | 4043 Mississippi Ave, Cahokia, IL 62206-1041 | 2010-07-16 |
| 1396871794 | Cahokia Pharmacy Inc | Pharmacy | 817 Upper Cahokia Rd, Cahokia, IL 62206-1211 | 2007-02-27 |
| 1578629945 | Rosa M. Prouhet | Registered Nurse | 818 Upper Cahokia Rd, Cahokia, IL 62206-1212 | 2006-12-29 |
| 1518391739 | Sarah Rahman | Physician Assistant | 818 Upper Cahokia Rd, Cahokia, IL 62206-1212 | 2013-08-23 |
| 1902963028 | Southern Illinois Healthcare Foundation, Inc. | Nurse Practitioner | 818 Upper Cahokia Rd, Cahokia, IL 62206-1212 | 2007-01-02 |
| 1427114891 | Southern Illinois Healthcare Foundation, Inc. | Family Medicine | 818 Upper Cahokia Rd, Cahokia, IL 62206-1212 | 2006-12-29 |
| 1649797838 | Marcia Ann Young | Behavior Technician | 17 Kinder St, Cahokia, IL 62206-1334 | 2017-08-28 |
| Find all providers in zip 62206 | ||||
| Taxonomy Code | 3416A0800X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Air Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891081469 | Omniflight Helicopters, Inc. | Ambulance | 4000 Vector Dr, Cahokia, IL 62206-1466 | 2011-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553896 | Lifenet, Inc. | Ambulance | 4309 Centegra Dr, Mchenry, IL 60050-1200 | 2020-06-19 |
| 1093272999 | Lifenet, Inc. | Ambulance | 430 N Airport Rd, Murphysboro, IL 62966 | 2019-02-27 |
| 1114490455 | Air Evac Ems, Inc. | Ambulance | 2181 Vadalabene Dr, Maryville, IL 62062-5633 | 2019-01-09 |
| 1104338425 | Air Evac Ems, Inc. | Ambulance | 3666 N Il 130, Olney, IL 62450-4741 | 2017-10-26 |
| 1124555693 | Air Evac Ems, Inc. | Ambulance | 7894 N County Road 1050e, Mattoon, IL 61938-8523 | 2017-05-16 |
| 1417481912 | Air Evac Ems, Inc. | Ambulance | 529 E Grant St, Macomb, IL 61455-3313 | 2017-04-12 |
| 1225585904 | Air Evac Ems, Inc. | Ambulance | 635 Il Route 127, Greenville, IL 62246-3541 | 2016-09-09 |
| 1770036436 | Air Evac Ems, Inc. | Ambulance | 177 Vince Ashley Dr, Harrisburg, IL 62946-2400 | 2016-07-29 |
| 1992141949 | Osf Aviation, LLC | Ambulance | 1400 S Johanson Rd, Peoria, IL 61607-1119 | 2013-05-17 |
| 1437439692 | Lifenet, Inc | Ambulance | 23810 County Farm Rd, Joliet, IL 60431-9255 | 2011-08-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.