LIFE AIR RESCUE; NPI #1659318517

Contact Information

LIFE AIR RESCUE

1 SAINT MARY PL
SHREVEPORT, LA 71101-4343

Phone: 318-681-4610
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Air Transport	3416A0800X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for LIFE AIR RESCUE

NPI Number 1659318517

LBN Legal business name LIFE AIR RESCUE

Authorized official PAM ANDERSON - (CHIEF FLIGHT NURSE)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/01/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

LA	License #	9110026
LA	Medicaid	1675458
LA	Other	B8086	BLUE CROSS/BLUE SHIELD

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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LIFE AIR RESCUE

Contact Information

Specialty

Air Transport

NPI Profile & details for LIFE AIR RESCUE

Reviews for LIFE AIR RESCUE