Organization Name: | UT LIFESTAR, LLC |
NPI Number: | 1144433129 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID HINTON (VP OF FINANCE) |
Mailing Address: | 255 Highway 322 E Sweetwater |
State: | TN US |
Postal Code: | 378740000 |
Phone Number: | 4233372563 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 03/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416A0800X |
License Number: | EMS0000010038 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Air Transport |
Taxonomy Definition: |