LIFELINE EMS LLC
NPI 1174705859
Ambulance - Land Transport in West Memphis, AR

NPI Status: Active since December 04, 2007

Contact Information

510 E JACKSON AVE
WEST MEMPHIS, AR
ZIP 72301
Phone: (870) 735-9718
Fax: (870) 735-9718

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  • Organization
  • Ambulance
  • Land Transport

About LIFELINE EMS LLC

This page provides the complete NPI Profile along with additional information for Lifeline Ems Llc, a provider established in West Memphis, Arkansas operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1174705859 assigned on December 2007. The practitioner's primary taxonomy code is 3416L0300X with license number 0000010018 (TN). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. Charlie Andrew Tacito Emt (Owner)

NPI
1174705859
Provider Name
LIFELINE EMS LLC
Entity Type
Organization
Location Address
510 E JACKSON AVE WEST MEMPHIS, AR 72301
Location Phone
(870) 735-9718
Location Fax
(870) 735-9718
Mailing Address
510 E JACKSON AVE WEST MEMPHIS, AR 72301
Mailing Phone
(870) 735-9718
Mailing Fax
(870) 735-9718
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-04-2007
Last Update Date
06-22-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ambulance Land Transport

Taxonomy Code
3416L0300X
Type
Transportation Services
License No.
0000010018
License State
TN

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. CHARLIE ANDREW TACITO EMT

Authorized Official Title
OWNER
Authorized Official Phone
(901) 619-3127

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
186922715MEDICAID (05)AR 
3574503MEDICARE PIN (08)TN 
47420MEDICARE PIN (08)AR 
T000212MEDICAID (05)TN 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174705859
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2114414010810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 4 + 0 + 1 + 0 + 8 + 1 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1174705859 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013016054EMT MEDICAL TRANSFERS, INC
Organization
Ambulance (Land Transport)510 E JACKSON AVE
WEST MEMPHIS, AR 72301
(800) 451-8036
1043420094CRITTENDEN AMBULANCE SERVICE CORP
Organization
Ambulance510 E JACKSON AVE
WEST MEMPHIS, AR 72301
(800) 451-8036

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174705859, enumerated in the NPI registry as an "organization" on December 04, 2007

The provider is located at 510 E Jackson Ave West Memphis, Ar 72301 and the phone number is (870) 735-9718

This medical organization specializes in Ambulance with taxonomy code 3416L0300X with a focus in Land Transport

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 04, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.