Organization
LIFELINE MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA GRIESHEIMER (BILLING SPECIALIST)
(814) 243-0414
Entity
Organization
Contact information
Practice address
1415 EISENHOWER BLVD, JOHNSTOWN, PA 15904-3217
(814) 243-0414
Mailing address
3159 CARPENTERS PARK RD, DAVIDSVILLE, PA 15928-9223
(814) 243-0414
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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