Organization · Type 2 NPI

International Life Support Inc

Ambulance · Aiea, HI

NPI number 1013967769 Active

Practice location

99-1379 Koaha Pl
Aiea, HI 96701-3269

Call (808) 487-4900 Map

Fax (808) 486-1765

Mailing address

PO Box 749667
Los Angeles, CA 90074-9667

Specialties and licenses

Taxonomy	Code	License
Ambulance Primary	341600000X	None listed
Land Ambulance	3416L0300X	None listed

Ambulance: An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

NPI record

NPI: 1013967769
Entity type: Organization (Type 2)
Issued: May 11, 2006
Last updated: Sep 15, 2025
Status: Active

Other names

<unavail>
American Medical Response (amr) · doing business as
American Medical Response (amr) · doing business as

Authorized official

Timothy Joseph Dorn
Chief Administrative Officer
(833) 703-2294

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013967769

International Life Support Inc's National Provider Identifier is 1013967769, issued on May 11, 2006. The primary taxonomy on file is Ambulance (341600000X), and the practice location is in Aiea, HI. The record was last updated on Sep 15, 2025.