Life Support Corporation
Organization Active NPI Land Ambulance · Jamison, PA
NPI 1659699049 · NPPES record last updated Oct 23, 2011
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Sep 20, 2015.
Key facts
- NPI
- 1659699049
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 10010 (PA)
- Legal business name
- LIFE SUPPORT CORPORATION
- Practice address
- 2284 Sand Trap Rd
Jamison, PA 18929-1076 - Phone
- (215) 266-5197
- NPI assigned
- May 10, 2010
- Organization subpart
- No
Authorized official
- Name
- Nazariy Kmet
- Title
- Ceo
- Phone
- (215) 266-5197
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
Locations
555 Geo Dr
Philipsburg, PA 16866
Phone (814) 762-4526
1325 Oreilly Dr
Ste A
Trevose, PA 19053
Phone (215) 266-4433
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 10010 | PA | Yes |
Addresses
Primary practice location
2284 Sand Trap Rd
Jamison, PA 18929-1076
Mailing address
2284 Sand Trap Rd
Jamison, PA 18929-1076
Phone (215) 266-5197
Other providers in Jamison, PA
- Laura C.Walsh
- Gretchen Lawler
- Alyssa Marie Legnetti
- Jae Leyson
- Jeffrey Leyson
- Lifehelp Homecare LLC
- William Meredith Lybarger
- Alicia Lynch
- Jensen Macaulay
- Abin Mathew
All providers in Jamison, PA · Land Ambulance in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.