LIFEPOINTE MEDICAL TRANSPORT, LLC (NPI# 1679983555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679983555 |
| Entity Type | Organization |
| Organization Name | LIFEPOINTE MEDICAL TRANSPORT, LLC |
| Practice Address |
315 Pecan Ln Gray GA 31032-5330 |
| Mailing Address |
Po Box 1654 Gray GA 31032-1654 |
| Practice Telephone | 2294021411 |
| Practice Fax Number | 4782162015 |
| Mailing Telephone | 2294021411 |
| Mailing Fax Number | 4782162015 |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2014-05-01 |
| Authorized Official Name | MR. CHARLES ALEXANDER KEMP II (OWNER) |
| Authorized Official Telephone | 2294021411 |
| Authorized Official Credential | M.B.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| Street Address |
315 PECAN LN |
| City | GRAY |
| State | GA |
| Zip Code | 31032-5330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225669120 | True Essential Service, LLC | Home Health | 112 Madison Avenue, Gray, GA 31032 | 2020-01-29 |
| 1740640234 | Tuquester L. Carlisle | Marriage & Family Therapist | 300 West Clinton St., Suite I, Gray, GA 31032 | 2016-02-26 |
| 1821404161 | Linda Norman Greene | Home Health Aide | 3562 Gray Highway, Gray, GA 31032 | 2014-07-08 |
| 1770876781 | Gray Dental Associates, P.C. | Dentist | 242 West Clinton St, Gray, GA 31032 | 2011-05-24 |
| 1245404516 | Louise E Simmons | Nurse's Aide | 426 Liberty Street, Gray, GA 31032 | 2008-04-17 |
| 1396929568 | Albert H Mcgalliard | Pharmacist | 236 West Clinton St, Gray, GA 31032 | 2007-12-24 |
| 1184845067 | Todd F Kelleher | Chiropractor | 4292 Gray Highway, Gray, GA 31032 | 2007-05-01 |
| 1477690014 | S & S Medical Management Services, Inc | Durable Medical Equipment & Medical Supplies | 221 West Clinton Street, Suite F, Gray, GA 31032 | 2007-01-31 |
| 1235290859 | River Edge Behavorial Health Center | Community/Behavioral Health | 324 Highway 18 East, Gray, GA 31032 | 2006-12-13 |
| 1437211067 | River Edge Behavioral Health Center | Community/Behavioral Health | 502 West Clinton Street, Gray, GA 31032 | 2006-12-13 |
| Find all providers in zip 31032 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 1518902485 | Town of Gray | Ambulance | 125 Shaker Rd, Gray, ME 04039-7701 | 2006-06-17 |
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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.