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	3416A0800X	Air Ambulance	510115	MO

General Provider Information

NPI Number	:	1972900116
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	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 W LIBERTY ST
Second Line	:
City	:	FARMINGTON
State	:	MO
Zip	:	63640-1921
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	:	12/03/2014
Last Update Date	:	12/19/2025

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Directions to “LIFENET, INC. ” Practice Location

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