LIFE LINE MEDICAL AMBULANCE (NPI# 1992851638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992851638 |
| Entity Type | Organization |
| Organization Name | LIFE LINE MEDICAL AMBULANCE |
| Other Organization Name | CONNIE SCARBROUGH |
| Practice Address |
200 Center Street Fulton OH 43321 |
| Mailing Address |
Po Box 97 200 Center Street Fulton OH 43321 |
| Practice Telephone | 4197684000 |
| Practice Fax Number | 4198643967 |
| Mailing Telephone | 4197684000 |
| Mailing Fax Number | 4198643967 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | MRS. CONNIE SCARBROUGH (OWNER) |
| Authorized Official Telephone | 4197684000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
OH | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0213941 | 05 |
| Other Name | Type Code |
|---|---|
| Connie Scarbrough | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043288624 | Life Line Medical Ambulance | Ambulance | 200 Center Street, Fulton, OH 43321 | 2006-03-09 |
| Street Address |
200 CENTER STREET |
| City | FULTON |
| State | OH |
| Zip Code | 43321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043288624 | Life Line Medical Ambulance | Ambulance | 200 Center Street, Fulton, OH 43321 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346672730 | Dave Kovacs | Registered Nurse | 239 Cunard St, Fulton, OH 43321-9705 | 2013-08-07 |
| 1861630634 | Heather Rose Coudriet | Licensed Practical Nurse | 206 William St, Fulton, OH 43321-9707 | 2009-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775689 | Ericka Jo Daniszewski | Licensed Practical Nurse | 112 W 1st St N, Fulton, NY 13069-1150 | 2020-09-23 |
| 1063026086 | Rachel Romero | Nurse Practitioner | 407 Interchange Dr, Fulton, MS 38843-6029 | 2020-09-08 |
| 1215541529 | David Vecchio | Social Worker | 522 S 4th St Ste 200, Fulton, NY 13069-2946 | 2020-09-03 |
| 1417565979 | Eileen Welch | Social Worker | 1164 County Line Rd, Fulton, NY 13069-4369 | 2020-07-21 |
| 1619591542 | Kristy S. Franks | Nurse Practitioner | 2803 Cobb Stump Rd, Fulton, MS 38843-7391 | 2020-06-06 |
| 1497378475 | Sophia Adele Giovannetti | Dietitian, Registered | 74 Lakeshore Rd, Fulton, NY 13069-4782 | 2020-05-25 |
| 1609498245 | Elizabeth Katherine Stoltz | Radiology | 1126 14th Ave, Fulton, IL 61252-1139 | 2020-05-16 |
| 1063034288 | Kerri Scriven | Speech-Language Pathologist | 9459 Ellsworth Ct, Fulton, MD 20759-9639 | 2020-05-11 |
| 1912528274 | Drayer Physical Therapy of Maryland LLC | Clinic/Center | 11710 E Market Place, Suite F, Fulton, MD 20759 | 2020-04-28 |
| 1043849755 | Journey Well Therapy and Coaching Pllc | Clinic/Center | 408 11th Avenue, Fulton, IL 61252 | 2020-04-04 |
| Find all providers in FULTON | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 1821651688 | Waterford Township | Ambulance | 207 4th Street, Beverly, OH 45715-0146 | 2019-04-17 |
| 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.