# LIFE EMERGENCY MEDICAL SERVICES

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

## Provider details

- **NPI number:** 1760782783
- **Authorized official:** MR. MICHAEL PISTOLE (PRESIDENT)
- **Authorized official phone:** (770) 354-6169

## Contact information

- **Practice address:** 729 6TH ST, PORTSMOUTH, OH 45662-4030
- **Practice address phone:** (740) 354-6169
- **Practice address fax:** (740) 351-1421
- **Mailing address:** 729 6TH ST, PORTSMOUTH, OH 45662-4030
- **Mailing address phone:** (740) 354-6169
- **Mailing address fax:** (740) 351-1421

## Taxonomy

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

## Other

- **Enumeration date:** 10/25/2010
- **Last updated:** 10/25/2010