OSF LIFELINE AMBULANCE, LLC


Address: 318 Roxbury Rd, Rockford, IL 61107-5090
Phone: 8153954695

OSF LIFELINE AMBULANCE, LLC (NPI# 1619036829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619036829
Entity Type Organization
Organization Name OSF LIFELINE AMBULANCE, LLC
Practice Address 318 Roxbury Rd
Rockford
IL 61107-5090
Mailing Address Po Box 17115
Rockford
IL 61110-7115
Practice Telephone 8153954695
Practice Fax Number 8053954643
Enumeration Date 2006-12-06
Last Update Date 2014-04-09
Authorized Official Name JAMES M MOORE (CEO)
Authorized Official Telephone 3096552850
Is Organization Subpart Y
Parent Organization Name OSF HEALTHCARE SYSTEM

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3416L0300X Ambulance
Specialization: Land Transport
Transportation Services

Other Provider Identifier

State Issuer Identifier Type Code
IL BLUE CROSS 471203 01

Office Location

Street Address 318 ROXBURY RD
City ROCKFORD
State IL
Zip Code 61107-5090

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356952139 Jessica Marie Tamayo Fernandez Pharmacist 1145 Alpine Rd, Rockford, IL 61107 2020-08-13
1467092379 Unknown Safa Fatima Student in an Organized Health Care Education/Training Program Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 2020-01-08
1194367912 Matt J Kriebs Nurse Practitioner 1235 N Mulford Rd Suite 103, Rockford, IL 61107 2019-10-14
1265962336 Mary Golembeck Nurse Practitioner 7290 Argus Dr, Rockford, IL 61107 2017-06-12
1831644749 Tessa Lee Occupational Therapist 3422 Lauderdale Ln, Rockford, IL 61107 2016-08-20
1942626965 Elevated Health Essentials, LLC Chiropractor 124 N Water St Ste 204e, Rockford, IL 61107 2014-03-14
1093139909 Swedishamerican Hospital Surgery 1639 N Alpine Rd Ste 400, Rockford, IL 61107 2014-02-12
1346676582 Christopher Anthony Ziganto Pharmacist 494 Bienterra Trail #2, Rockford, IL 61107 2013-09-19
1023358272 Lavanya Durairajan Physical Therapist 7358 Shiligton Dr, Rockford, IL 61107 2013-02-26
1851523146 Great Smiles of Rockford Durable Medical Equipment & Medical Supplies 780 N. Mulfrord Road, Rockford, IL 61107 2009-08-20
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Taxonomy Information

Taxonomy Code 3416L0300X
Grouping Transportation Services
Classification Ambulance
Specialization Land Transport

Taxonomy Definition

Definition to come...
Notes: [1/1/2005: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740809870 Blackhawk Fire Protection District Ambulance 3738 S Main St, Rockford, IL 61102-4239 2020-04-09
1275708752 Mercy Ambulance Service LLC Ambulance 1025 Campton Dr, Rockford, IL 61102-1066 2008-04-25
1790804144 New Milford Fire Ambulance Ambulance 2177 Will James Rd, Rockford, IL 61109-4854 2007-03-28
1013952589 Rockford Ambulance Inc Ambulance 8450 Shaner Ave Ne, Rockford, MI 49341-9379 2006-06-18
1720050826 City of Rockford Ambulance 204 S 1st St, Rockford, IL 61104-2033 2006-02-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306468871 Germantown Fire Protection District Ambulance 313 Prairie Ave, Germantown Hills, IL 61548-9290 2020-05-07
1134776859 Preferred Ambulance LLC Ambulance 9449 S Kedzie Ave Ste 301, Evergreen Park, IL 60805-2325 2019-08-19
1407321938 Alliance Ambulance LLC Ambulance 4248 Belle Aire Lane Suite 3, Downers Grove, IL 60515-1303 2018-10-11
1366924888 Randolph Township Fire Protection District Ambulance 707 S. Vine St, Heyworth, IL 61745 2018-08-31
1033615307 Bridget Mangan Ambulance 3559 W 101st St, Evergreen Park, IL 60805-3708 2018-04-04
1093211823 Lakeside Ems LLC Ambulance 3293 E 500 North Rd, Neoga, IL 62447 2018-04-02
1902301013 Ability Transportation Inc Ambulance 24459 W Eames St, Channahon, IL 60410-5591 2018-03-29
1417472739 City of Benton Ambulance 107 N. Maple St., Benton, IL 62812 2017-08-08
1619499878 Mission Care of Illinois LLC Ambulance 812 N 3rd St, Effingham, IL 62401-3130 2017-07-10
1538618483 Lexington Community Fire Protection District Ambulance 102 S Benson St, Lexington, IL 61753-1200 2016-10-03
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Competitor

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City ROCKFORD
Zip Code 61107

Improve Information

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Dataset Information

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.

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