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Active NPI 1881036028 Organization (Entity Type 2) Subpart Facility

Lifenet

Ambulance - Air Transport • Crestview, FL

Parent Organization: Air Methods Corporation

About Lifenet NPI 1881036028 Summary

Lifenet is a verified healthcare organization specializing in Ambulance - Air Transport operating in Crestview, FL. Located at 5649 JOHN GIVENS RD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1881036028.

Lifenet operates as a subpart facility of Air Methods Corporation. Administrative operations and authorized compliance are overseen by Daniel Castro (Applications Specialist).

Facility Location & Contact Primary Location

Facility Address

5649 John Givens Rd

Crestview, FL 325397031

Telephone 9099152317

Authorized Official Information

Authorized Contact Name

Daniel Castro

Title / Role

Applications Specialist

Official Telephone

9099152317

Facility Classifications & Specialties

Ambulance - Air Transport Primary Taxonomy

NUCC Taxonomy Code: 3416A0800X

Definition to come...

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active July 29, 2013

NPI status registered as active in NPPES database

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Updated Practice Location July 29, 2013

Registered at 5649 JOHN GIVENS RD, CRESTVIEW, FL 325397031 (Tel: 9099152317)

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Updated Business Mailing Address July 29, 2013

Registered at 5649 JOHN GIVENS RD, CRESTVIEW, FL 325397031

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Organization / Clinic Name Updated July 29, 2013

Operating as LIFENET

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2013

Ambulance (License #840915893 in None)

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Initial NPI Registration & Enumeration July 29, 2013

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1881036028
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: July 29, 2013
Last Update: July 29, 2013

Mailing Address

5649 John Givens Rd

Crestview, FL 325397031

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.