# LIFETEAM EMS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225030869
- **Authorized official:** KENNETH J JOSEPH (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (330) 323-4800

## Contact information

- **Practice address:** 7100 WHIPPLE AVE NW, STE E, NORTH CANTON, OH 44720-7167
- **Practice address phone:** (330) 386-5606
- **Practice address fax:** (330) 232-9917
- **Mailing address:** 7100 WHIPPLE AVE NW, STE E, NORTH CANTON, OH 44720-7167
- **Mailing address phone:** (330) 386-5606
- **Mailing address fax:** (330) 232-9917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 150012 | OH | Yes |

## Other

- **Enumeration date:** 08/12/2005
- **Last updated:** 07/05/2024

## 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 |