LIFE LINE AMBULANCE SERVICE INC
NPI 1043214372
Ambulance - Land Transport in Prescott, AZ

Q: What is Life Line Ambulance Service Inc's NPI number?

The NPI number for Life Line Ambulance Service Inc is 1043214372. It was assigned to this organization in the NPPES registry on June 1, 2005.

Q: What is Life Line Ambulance Service Inc's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Active since June 01, 2005CLIA 03D0691013 · Waiver

915 HINMAN ST, PRESCOTT, AZ 86305(928) 445-3814 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 15, 2025, Jul 16, 2024, Jun 24, 2024 and 6 more (9 updates tracked since 2019).

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About Life Line Ambulance Service Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE LINE AMBULANCE SERVICE INC (NPI 1043214372) is a healthcare organization registered as a land transport in Prescott, Arizona and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Brian Scott Tierney, Evp, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1043214372

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameLIFE LINE AMBULANCE SERVICE INC

Location Address915 HINMAN STPrescott, AZ 86305-1619

Mailing AddressPo Box 847102Dallas, TX 75284-7102 · (800) 913-9106

Phone(928) 445-3814

Organization SubpartNo

Authorized OfficialBrian Scott TierneyEvp, Chief Financial Officer · (833) 703-2294

Enumeration DateJune 1, 2005

Last NPPES UpdateFebruary 19, 20269 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2026

✔ NPI 1043214372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAmbulance · Land TransportTransportation Services

Taxonomy Code3416L0300X

Also ListedAmbulanceTaxonomy 341600000X

915 HINMAN ST, Prescott, AZ 86305

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Other Identifiers 1

Medicaid070136AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D0691013

Life Line Ambulance Service Inc · Prescott, AZ

Active · expires Aug 31, 2026

CLIA Number03D0691013

Laboratory TypeOther

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorGlenn Kasprzyk

Laboratory Phone(928) 445-3814

Laboratory LocationLife Line Ambulance Service Inc915 Hinman St, Prescott, AZ 86305

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425

Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.

37,921 services2,277 patients

Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427

Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.

2,631 services1,939 patients

Ambulance service, basic life support, emergency transport (bls-emergency) A0429

Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.

265 services250 patients

Ambulance service, basic life support, non-emergency transport, (bls) A0428

Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.

123 services118 patients

Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426

Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.

104 services98 patients

Advanced life support, level 2 (als 2) A0433

Advanced Life Support Level 2 (ALS 2) is a medical service provided during emergencies. It involves advanced procedures like defibrillation, medication administration or endotracheal intubation by trained professionals to stabilize critical patients.

69 services67 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Line Ambulance Service Inc's NPI number?

The NPI number for Life Line Ambulance Service Inc is 1043214372. It was assigned to this organization in the NPPES registry on June 1, 2005.

Where is Life Line Ambulance Service Inc located?

Life Line Ambulance Service Inc is located at 915 Hinman St, Prescott, AZ 86305. The listed phone number is (928) 445-3814.

What is Life Line Ambulance Service Inc's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Life Line Ambulance Service Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0691013) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Life Line Ambulance Service Inc accept?

Health plans from Blue Cross Blue Shield of Arizona list Life Line Ambulance Service Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Life Line Ambulance Service Inc was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.