National Provider Identifier Database

LIFE AIR RESCUE
Air Transport


Contact Information

LIFE AIR RESCUE
1 SAINT MARY PL
SHREVEPORT, LA71101-4343
Phone: 318-681-4610
Fax:
Website:
Specialty Taxonomy Code
* Air Transport 3416A0800X

* Indicates primary specialty

NPI Profile & details for LIFE AIR RESCUE

NPI Number 1659318517
Legal business name
LBN
LIFE AIR RESCUE
Authorized official PAM ANDERSON - (CHIEF FLIGHT NURSE)
Entity Organization
Organization subpart No
Enumeration date 06/01/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • LA License #: 9110026
  • LA Medicaid: 1675458
  • LA Other: B8086 BLUE CROSS/BLUE SHIELD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for LIFE AIR RESCUE

There are currently no reviews for LIFE AIR RESCUE


NPIdb - Home
v2.201