Organization
LIFETEAM INDIANA
Active
Organization
LIFETEAM INDIANA
Active
Other names
Lifeteam Emergency Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRIEANN RICH NREMT I (DIRECTOR OF OPERATIONS)
(765) 478-3800
Entity
Organization
Contact information
Practice address
28 W CHURCH ST, CAMBRIDGE CTY, IN 47327-1615
(765) 478-3800
(765) 478-3880
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
0922
IN
3416L0300X
Land Ambulance
Primary
0922
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000387875
ANTHEM
IN
05
—
2728016
—
OH
01
—
P00429801
RAILROAD MEDICARE
IN
Enumeration date
01/23/2006
Last updated
04/20/2008
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