National Provider Identifier Database

LIFESTAR LLC
Ambulance

An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).


Contact Information

LIFESTAR LLC
1014 S WESTERLY
PAYSON, AZ85541
Phone: 928-474-2831
Fax: 928-474-6188
Website:
Specialty Taxonomy Code
* Ambulance 341600000X

* Indicates primary specialty

NPI Profile & details for LIFESTAR LLC

NPI Number 1699752998
Legal business name
LBN
LIFESTAR LLC
Authorized official RALPH VASSALLO - (VICE PRESIDENT OF BILLING SERVICES)
Entity Organization
Organization subpart No
Enumeration date 12/28/2005
Last updated 11/03/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 58
  • AZ Medicaid: 620949
  • AZ Other: AZ0152310 BCBS
  • AZ Other: 590015162 RR MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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