Organization
LIFESTAT AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN C KRAVETSKY CRITICAL CARE EMT P (PRESIDENT)
(724) 639-3868
Entity
Organization
Contact information
Practice address
301 SALT ST, STE 1, SALTSBURG, PA 15681-1122
(724) 639-3043
(724) 639-3343
Mailing address
301 SALT ST, STE 1, SALTSBURG, PA 15681-1122
(724) 639-3043
(724) 639-3343
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03374
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0944090
OHIO MEDICAL ASSIST
OH
01
—
1001414
GATEWAY
—
01
—
13522
MED PLUS
—
01
—
1412565
UMWA
—
01
—
1811395600001
MEDICAL ASSIST DPA
—
05
—
1811395600001
—
PA
01
—
205534
HIGHMARKS
—
01
—
6472
HEALTH ASSURANCE
—
01
—
69619
THREE RIVERS
—
01
—
8190160
INDEPENDENT HEALTH
—
01
—
A28600
HEALTH AMERICA
—
01
—
P219938
CHAMPUS TRICARE
—
Enumeration date
01/18/2006
Last updated
08/22/2020
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