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
1	341600000X	Ambulance	019005	TX
2	3416A0800X	Air Ambulance	019005	TX
3	3416L0300X	Land Ambulance	019005	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770585812
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFENET, INC.

Provider Business Mailing Address
First Line	:	6300 HAMPTON RD
Second Line	:
City	:	TEXARKANA
State	:	TX
Zip	:	75503-0007
Country	:	US
Telephone Number	:	903-832-8531
Fax Number	:	903-832-0215

Provider Business Practice Location Address
First Line	:	6300 HAMPTON RD
Second Line	:
City	:	TEXARKANA
State	:	TX
Zip	:	75503-0007
Country	:	US
Telephone Number	:	903-832-8531
Fax Number	:	903-832-0215

Authorized Official
Title or Position	:	DIRECTOR OF FINANCE
Name	:	DAVID J SNAVELY
Credential	:
Telephone Number	:	903-832-8531

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	09/11/2025

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Directions to “LIFENET, INC. ” Practice Location

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