Organization
LIFE EMERGENCY MEDICAL SERVICE, INC.
Active
Other names
Life EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES S JOHNSON (OWNER/PRESIDENT)
(580) 233-2245
Entity
Organization
Contact information
Practice address
302 W MAPLE AVE, ENID, OK 73701-3808
(580) 233-2245
(580) 242-0348
Mailing address
PO BOX 365, ENID, OK 73702-0365
(580) 233-2245
(580) 242-0348
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS075
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
730760393-001
BCBS PROVIDER #
OK
01
—
P00161773
RAILROAD MEDICARE #
OK
Enumeration date
05/23/2005
Last updated
10/16/2007
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