# LIFE EMERGENCY MEDICAL SERVICE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Life EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467455691
- **Authorized official:** MR. JAMES S JOHNSON (OWNER/PRESIDENT)
- **Authorized official phone:** (580) 233-2245

## Contact information

- **Practice address:** 302 W MAPLE AVE, ENID, OK 73701-3808
- **Practice address phone:** (580) 233-2245
- **Practice address fax:** (580) 242-0348
- **Mailing address:** PO BOX 365, ENID, OK 73702-0365
- **Mailing address phone:** (580) 233-2245
- **Mailing address fax:** (580) 242-0348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | EMS075 | OK | Yes |

## Other

- **Enumeration date:** 05/23/2005
- **Last updated:** 10/16/2007