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General NPI Number Information
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NPI Number | 1164568069
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Entity Type | Organization
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Legal Business Name | LIFEMED, INC.
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 110 W MAIN ST
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City | NORTH MANCHESTER
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State | IN
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Zip | 46962-1502
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Country | US
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Telephone | 260-982-8363
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Fax | 260-982-4710
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Provider Business Mailing Address
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Address Line | PO BOX 323
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City | NORTH MANCHESTER
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State | IN
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Zip | 46962-0323
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Country | US
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Telephone | 260-982-8363
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Fax | 260-982-4710
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Authorized Official
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Title or Position | CEO PRESIDENT
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Name | CHRISTOPHER BROWN
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Credential |
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Telephone | 260-982-8363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 0363
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 29192-A,2
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License Number State | IN
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