Provider Demographics
NPI:1891385514
Name:LIFEMED AMBULANCE CORPORATION
Entity Type:Organization
Organization Name:LIFEMED AMBULANCE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AIAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ELKHIDIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-900-1111
Mailing Address - Street 1:PO BOX 1
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07101-0017
Mailing Address - Country:US
Mailing Address - Phone:973-900-1111
Mailing Address - Fax:
Practice Address - Street 1:1200 ROUTE 22
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-2943
Practice Address - Country:US
Practice Address - Phone:973-900-1111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport