Provider Demographics
NPI:1639368319
Name:LIFE SAVERS EMERGENCY MEDICAL SERVICES, INC
Entity Type:Organization
Organization Name:LIFE SAVERS EMERGENCY MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:AL
Authorized Official - Middle Name:
Authorized Official - Last Name:DUKE
Authorized Official - Suffix:IV
Authorized Official - Credentials:RN
Authorized Official - Phone:909-838-2052
Mailing Address - Street 1:PO BOX 1051
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-1051
Mailing Address - Country:US
Mailing Address - Phone:909-838-2052
Mailing Address - Fax:909-880-9279
Practice Address - Street 1:11727 PENDLETON RD
Practice Address - Street 2:
Practice Address - City:YUCAIPA
Practice Address - State:CA
Practice Address - Zip Code:92399-9718
Practice Address - Country:US
Practice Address - Phone:909-838-2052
Practice Address - Fax:909-880-9279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-18
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance