Organization
LIFE EMERGENCY MEDICAL SERVICE, INC.
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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