Healthcare Provider Details

I. General information

NPI: 1538014659
Provider Name (Legal Business Name): LIBERTY EMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

166 MOUNT VERNON DR
WEST CHESTER OH
45241-1449
US

IV. Provider business mailing address

166 MOUNT VERNON DR
WEST CHESTER OH
45241-1449
US

V. Phone/Fax

Practice location:
  • Phone: 303-931-0936
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: SETH CARTER
Title or Position: CFO
Credential: EMT
Phone: 303-931-0936