NPI 1114091147

Lifeline EMS LLC

Organisation Ambulance Holly Grove, AR

Practice location

Address: 146 Dr. Herd E. Stone, Holly Grove, AR 72069
Phone: (870) 462-8003
Mailing address: PO Box 592, Holly Grove, AR 72069-0592

Authorised official

Name: David Donovan
Title: Ceo
Phone: (870) 462-8003

Registered specialties

Ambulance Primary

Transportation Services Taxonomy 341600000X Licence 319 (AR)

Other Ambulance providers in Arkansas →

Registry record

NPI: 1114091147
Entity type: Organization
NPI issued: 20 Nov 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.