NPI 1174705859
Lifeline EMS LLC
Practice location
- Address
- 510 E Jackson Ave, West Memphis, AR 72301-4336
- Phone
- (870) 735-9718
- Fax
- (870) 735-9718
Authorised official
- Name
- Charlie Andrew Tacito
- Title
- Owner
- Phone
- (901) 619-3127
Registered specialties
Land Ambulance
Primary
Registry record
- NPI
- 1174705859
- Entity type
- Organization
- NPI issued
- 4 Dec 2007
- Record last updated
- 22 Jun 2011
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.