Organization
LIFE LINE AMBULANCE SERVICE INC
Active
Organization
LIFE LINE AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SCOTT TIERNEY (EVP, CHIEF FINANCIAL OFFICER)
(833) 703-2294
Entity
Organization
Contact information
Practice address
915 HINMAN ST, PRESCOTT, AZ 86305-1619
(928) 445-3814
Mailing address
PO BOX 847102, DALLAS, TX 75284-7102
(800) 913-9106
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
EMS2878
AZ
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070136
—
AZ
Enumeration date
06/01/2005
Last updated
02/19/2026
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