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COMMUNITY LIFETEAM INC. NPI 1619994571


NPI Information

NPI: 1619994571
Provider Name: COMMUNITY LIFETEAM, INC.
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 39D0970960

Address:
1000 PAXTON ST
HARRISBURG, PA
ZIP 17104
Phone: (717) 782-4699
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COMMUNITY LIFETEAM, INC. is a land transport ambulance in Harrisburg, PA. COMMUNITY LIFETEAM, INC. NPI is 1619994571. The provider is registered as an organization entity type.

The provider's business location address is:

1000 PAXTON ST
HARRISBURG, PA
ZIP 17104-644
Phone: (717) 782-4699

The provider's authorized official is Debra G Messick .
The authorized official title is Business Manager and has the following contact phone number (717) 848-4740.

The CLIA number assigned to this NPI record is 39D0970960 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/16/2006 and was last updated on 9/27/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1341600000XAmbulanceNo
23416L0300XAmbulanceLand TransportYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10007001520003MEDICAIDPENNSYLVANIA
20007001520006MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.