NPI 1043214372 · live from the CMS NPI Registry
Life Line Ambulance Service INC
Ambulance, Land Transport in Prescott, AZ. National Provider Identifier 1043214372, active.
NPI record
| NPI | 1043214372 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Land Transport 3416L0300X |
| Practice location | 915 Hinman St, Prescott, AZ 86305 |
| Practice phone | 928-445-3814 |
| Mailing address | Po Box 847102, Dallas, TX 75284 |
| Enumerated | June 1, 2005 |
| Last updated | February 19, 2026 |
| Authorized official | Brian Tierney, Evp, Chief Financial Officer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance | 341600000X | — |
| Ambulance, Land Transport primary | 3416L0300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.