Organization
AMERICAN LIFELINE MEDICAL TRANSPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD LEE LIPSCOMB (OWNER)
(252) 794-9141
Entity
Organization
Contact information
Practice address
1016 W DANVILLE ST, SOUTH HILL, VA 23970-3604
(434) 447-2213
Mailing address
PO BOX 555, WINDSOR, NC 27983-0555
(252) 794-9141
(252) 794-9127
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010156777
—
VA
Enumeration date
05/28/2006
Last updated
01/28/2016
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