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NPI Code Detail

MEDICARE: LIFENET, INC.

MEDICARE: LIFENET, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13416A0800XAir Ambulance

General Provider Information

NPI Number : 1215553896
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFENET, INC.
Provider Business Mailing Address
First Line : PO BOX 713383
Second Line :
City : CINCINNATI
State : OH
Zip : 45271-3383
Country : US
Telephone Number : 800-636-4438
Fax Number :
Provider Business Practice Location Address
First Line : 4309 CENTEGRA DR
Second Line :
City : MCHENRY
State : IL
Zip : 60050-1200
Country : US
Telephone Number : 800-636-4438
Fax Number :
Authorized Official
Title or Position : SECRETARY
Name : CHRISTOPHER J BRADY
Credential :
Telephone Number : 800-636-4438
Provider Enumeration Date : 06/19/2020
Last Update Date : 12/19/2025

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Directions to “LIFENET, INC. ” Practice Location

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