LIFESTAR AMBULANCE SERVICE, INC.; NPI #1780639823

Contact Information

LIFESTAR AMBULANCE SERVICE, INC.

528 S WEST ST
JACKSONVILLE, IL 62650-2873

Phone: 217-245-7540
Fax: 217-243-4805
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Ambulance	341600000X	59	Ambulance Service Provider
Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for LIFESTAR AMBULANCE SERVICE, INC.

NPI # 1780639823

LBN Legal business name LIFESTAR AMBULANCE SERVICE, INC.

Authorized official ROGER CAMPBELL - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/24/2006

Last updated 07/17/2023 - About 3 years ago

Identifiers

License #

3633

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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LIFESTAR AMBULANCE SERVICE, INC.

Contact Information

Specialty

Ambulance

Land Transport

NPI Profile & details for LIFESTAR AMBULANCE SERVICE, INC.

Reviews for LIFESTAR AMBULANCE SERVICE, INC.