Osf Lifeline Ambulance, Llc

LBN: Osf Lifeline Ambulance, Llc
Osf Lifeline Ambulance, Llc is an health care organization with primary practice located at 318 Roxbury Rd , Rockford IL 61107-5090. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Osf Lifeline Ambulance, Llc can be contacted via phone (815) 395-4695, or through Moore, James M via phone (309) 655-2850.

Contact Information

Primary practice address
318 Roxbury Rd Rockford IL 61107-5090
Phone: (815) 395-4695
Fax: (805) 395-4643
Website:
Map and Directions
Authorized official contact:
Name: Moore, James M
Phone: (309) 655-2850

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X

Profile Details

NPI number 1619036829
LBN Legal business name Osf Lifeline Ambulance, Llc
DBA Doing business as
Authorized official Moore, James M
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 6th, 2006
Last updated Apr 9th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619036829 NPPES
Illinois Other 471203 BLUE CROSS

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