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LIFELINE EMS LLC
NPI 1174705859
Ambulance - Land Transport in West Memphis, AR

Active since December 04, 2007
510 E JACKSON AVE, WEST MEMPHIS, AR 72301(870) 735-9718(870) 735-9718 Get Directions Write a Review

NPPES record last updated: June 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifeline Ems Llc NPPES

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

LIFELINE EMS LLC (NPI 1174705859) is a healthcare organization registered as a land transport in West Memphis, Arkansas and active in the NPI registry since December 2007. The organization lists Charlie Andrew Tacito, Owner, as its authorized official.

NPPES Registry Identity

NPI1174705859
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameLIFELINE EMS LLC
Location Address510 E JACKSON AVEWest Memphis, AR 72301-4336
Mailing Address510 E Jackson AveWest Memphis, AR 72301-4336 · (870) 735-9718 · Fax (870) 735-9718
Phone(870) 735-9718
Fax(870) 735-9718
Organization SubpartNo
Authorized OfficialCharlie Andrew TacitoOwner · (901) 619-3127
Enumeration DateDecember 4, 2007
Last NPPES UpdateJune 22, 2011
✔ NPI 1174705859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in TN · 0000010018
510 E JACKSON AVE, West Memphis, AR 72301
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Other Identifiers 4

Medicaid186922715AR
Medicare PIN3574503TN
Medicare PIN47420AR
MedicaidT000212TN

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMT MEDICAL TRANSFERS, INC
Ambulance (Land Transport)
510 E JACKSON AVE
WEST MEMPHIS, AR 72301
Crittenden County (800) 451-8036
CRITTENDEN AMBULANCE SERVICE CORP
Ambulance
510 E JACKSON AVE
WEST MEMPHIS, AR 72301
Crittenden County (800) 451-8036

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 Lifeline Ems LLC's NPI number?

The NPI number for Lifeline Ems LLC is 1174705859. It was assigned to this organization in the NPPES registry on December 4, 2007.

Where is Lifeline Ems LLC located?

Lifeline Ems LLC is located at 510 E Jackson Ave, West Memphis, AR 72301. The listed phone number is (870) 735-9718.

What is Lifeline Ems LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lifeline Ems LLC was last updated on June 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.