Provider Demographics
NPI:1386837367
Name:LIFE FLIGHT NETWORK LLC
Entity Type:Organization
Organization Name:LIFE FLIGHT NETWORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:OSBORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-678-4364
Mailing Address - Street 1:22285 YELLOW GATE LANE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:AURORA
Mailing Address - State:OR
Mailing Address - Zip Code:97002
Mailing Address - Country:US
Mailing Address - Phone:503-678-4364
Mailing Address - Fax:503-678-4369
Practice Address - Street 1:22285 YELLOW GATE LANE
Practice Address - Street 2:SUITE 102
Practice Address - City:AURORA
Practice Address - State:OR
Practice Address - Zip Code:97002
Practice Address - Country:US
Practice Address - Phone:503-678-4364
Practice Address - Fax:503-678-4369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR26103416A0800X, 3416L0300X
WAAIRV.ES.600192103416A0800X, 3416L0300X
ID10363416A0800X, 3416L0300X
MT9093416A0800X
MT7233416L0300X
343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
No3416L0300XTransportation ServicesAmbulanceLand Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)