# LIFE EMS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689621047
- **Authorized official:** MR. MARK D MEIJER (PRESIDENT/OWNER)
- **Authorized official phone:** (616) 242-8805

## Contact information

- **Practice address:** 1275 CEDAR ST NE, GRAND RAPIDS, MI 49503-1378
- **Practice address phone:** (616) 458-0042
- **Practice address fax:** (616) 242-8825
- **Mailing address:** 1275 CEDAR ST NE, GRAND RAPIDS, MI 49503-1378
- **Mailing address phone:** (616) 458-0042
- **Mailing address fax:** (616) 242-8825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 411005 | MI | Yes |

## Other

- **Enumeration date:** 05/30/2006
- **Last updated:** 02/13/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3004925 | — | MI |