Organization
LIFELINE MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARLA LITTLE CAMPBELL (VP)
(276) 646-5030
Entity
Organization
Contact information
Practice address
116 LEE HIGHWAY, CHILHOWIE, VA 24319
(276) 646-5030
(276) 646-2223
Mailing address
PO BOX 1370, 116 WEST LEE HIGHWAY, CHILHOWIE, VA 24319-1370
(276) 646-5030
(276) 646-2223
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0206008393
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010303206
—
VA
Enumeration date
11/20/2006
Last updated
02/08/2012
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