Organization
COMMUNITY LIFETEAM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA G MESSICK (BUSINESS MANAGER)
(717) 848-4740
Entity
Organization
Contact information
Practice address
1000 PAXTON ST, HARRISBURG, PA 17104-1644
(717) 782-4699
Mailing address
PO BOX 8700, HARRISBURG, PA 17105-8700
(717) 848-4740
(717) 848-4748
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007001520003
—
PA
05
—
0007001520006
—
PA
Enumeration date
07/16/2006
Last updated
09/27/2022
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