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Organization
LIFETEAM EMS INC
Active
Organization
LIFETEAM EMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH J JOSEPH (CHIEF EXECUTIVE OFFICER)
(330) 323-4800
Entity
Organization
Contact information
Practice address
7100 WHIPPLE AVE NW, STE E, NORTH CANTON, OH 44720-7167
(330) 386-5606
(330) 232-9917
Mailing address
7100 WHIPPLE AVE NW, STE E, NORTH CANTON, OH 44720-7167
(330) 386-5606
(330) 232-9917
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
150012
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083370
—
OH
05
—
0144560000
—
WV
05
—
0668013
—
OH
01
—
1013108
WORKERS COMPENSATION
WV
05
—
1041716
—
PA
01
—
590004050
RAILROAD MEDICARE
OH
Enumeration date
08/12/2005
Last updated
07/05/2024
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