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LIFELINE CONNECTIONS MEDICAL SERVICES
NPI 1245819887
Clinic/Center - Primary Care in Vancouver, WA

Active since April 02, 2021
11719 NE 95TH ST STE D, VANCOUVER, WA 98682(360) 397-8246(360) 397-8449 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 1, 2023, Apr 2, 2021 (2 updates tracked since 2021).

About Lifeline Connections Medical Services NPPES

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

LIFELINE CONNECTIONS MEDICAL SERVICES (NPI 1245819887) is a healthcare organization registered as a primary care in Vancouver, Washington and active in the NPI registry since April 2021. The organization lists Kinh Reynolds, Cfo, as its authorized official.

NPPES Registry Identity

NPI1245819887
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLIFELINE CONNECTIONS MEDICAL SERVICES
Location Address11719 NE 95TH ST STE DVancouver, WA 98682-2444
Mailing AddressPo Box 1678Vancouver, WA 98668-1678
Phone(360) 397-8246
Fax(360) 397-8449
Organization SubpartYesParent: Lifeline Connections
Authorized OfficialKinh ReynoldsCfo · (360) 397-8246
Enumeration DateApril 2, 2021
Last NPPES UpdateMarch 1, 20232 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
✔ NPI 1245819887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
11719 NE 95TH ST STE D, Vancouver, WA 98682
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 7

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

LINDSAY MARIE MCGINNIS NP-C
Nurse Practitioner (Psychiatric/Mental Health)
11719 NE 95TH ST STE D
VANCOUVER, WA 98682
Clark County (360) 984-5511
JENNIFER MARAVILLA CG
Case Manager/Care Coordinator
11719 NE 95TH ST STE D
VANCOUVER, WA 98682
Clark County (360) 397-8246
TAYLOR BLANCHARD
Case Manager/Care Coordinator
11719 NE 95TH ST STE D
VANCOUVER, WA 98682
Clark County (360) 397-8246
CORI ELIZABETH LYDIC
Counselor (Mental Health)
11719 NE 95TH ST STE D
VANCOUVER, WA 98682
Clark County (360) 397-8246
MRS. ELIZABETH MARIE MACPHERSON NURSING ASSISTANT
Peer Specialist
11719 NE 95TH ST STE D
VANCOUVER, WA 98682
Clark County (360) 397-8246
MARIE ANN COOPER CO60824351
Case Manager/Care Coordinator
11719 NE 95TH ST STE D
VANCOUVER, WA 98682
Clark County (360) 397-8246
MEAGAN CHENEY
Case Manager/Care Coordinator
11719 NE 95TH ST STE D
VANCOUVER, WA 98682
Clark County (360) 397-8246

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 Connections Medical Services's NPI number?

The NPI number for Lifeline Connections Medical Services is 1245819887. It was assigned to this organization in the NPPES registry on April 2, 2021.

Where is Lifeline Connections Medical Services located?

Lifeline Connections Medical Services is located at 11719 NE 95th St Ste D, Vancouver, WA 98682. The listed phone number is (360) 397-8246.

What is Lifeline Connections Medical Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Lifeline Connections Medical Services accept?

Health plans from Providence Health Plan list Lifeline Connections Medical Services 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 Lifeline Connections Medical Services was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.