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| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | LIFE SUPPORT · Life Support Corporation | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | AMBULANCE COMPANY · OTHER BUSINESS | [sources] | |||
| NPI | 1659699049 | [sources] | |||
| Registration number | not available | [sources] | |||
| Tax Number | 272503911 | [sources] | |||
| Address | C/O 555 GEO DRIVE, #71451-066, PHILIPSBURG, PA 16866 · CI MOSHANNON VALLEY, 555, PHILLIPSBURG, PA 16866 · Clearfield, PA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
People and companies excluded from Federally funded health care programs
United States · OIG
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
us-mednj-55c987e08f60bb7db95955a7b7c7eb7a37fd49a5 · us-mednj-db52cf929afce254a60138376d88c504eca4dca0 · us-medpa-67b749bf84b2a80b66a4574d80b1ddc948405cdf · us-mednj-2075caf8dfe82a2f11e6da693fffda9adfd21035 · us-fed-excl-life-support-corporation-16866-philipsburgFor experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| CI MOSHANNON VALLEY, 555, PHILLIPSBURG, PA 16866 | United States | |
| United States | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |
| United States | New Jersey Office of the State Comptroller | - | - |
| Clearfield, PA | United States |