LIFELINE MOBILE MEDICS; NPI #1497761886

Contact Information

LIFELINE MOBILE MEDICS

112 SOUTHGATE DR
#B
BLOOMINGTON, IL 61704-7639

Phone: 309-828-8572
Fax: 309-827-3060
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for LIFELINE MOBILE MEDICS

NPI #	`1497761886`
LBN Legal business name	LIFELINE MOBILE MEDICS
Authorized official	KEITH DUTTON - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/31/2006
Last updated	08/22/2020 - About 6 years ago
Identifiers	n/a

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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