Provider Demographics
NPI:1538168372
Name:LIFENET, INC
Entity type:Organization
Organization Name:LIFENET, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:B
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-636-4438
Mailing Address - Street 1:PO BOX 713383
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45271-3383
Mailing Address - Country:US
Mailing Address - Phone:800-636-4438
Mailing Address - Fax:402-952-2423
Practice Address - Street 1:1310 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:SULLIVAN
Practice Address - State:MO
Practice Address - Zip Code:63080-5206
Practice Address - Country:US
Practice Address - Phone:800-636-4438
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AIR METHODS CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-07-14
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1538168372Medicaid
MO1538168372Medicaid
OK100817120AMedicaid
WY1538168372Medicaid
IA1538168372Medicaid
KS100411320 AMedicaid
MI1538168372Medicaid
AR198309715Medicaid
IN200911890AMedicaid
GA003141411AMedicaid
KS100411320 DMedicaid
OK100817120 CMedicaid
OK100817120 EMedicaid
OK100817120DMedicaid
IA1538168372Medicaid
KS100411320 AMedicaid
MO1538168372Medicaid
MI1538168372Medicaid
AR198309715Medicaid
AR201529715Medicaid
IA211538Medicaid
KS100411320 CMedicaid
IA1538168372Medicaid
KS100411320 CMedicaid
OK100817120AMedicaid
MI1538168372Medicaid
IL590014160Medicare PIN