Organization Name: | LIFESTAR AMBULANCE SERVICE,INC |
NPI Number: | 1598710535 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROGER D. CAMPBELL (PRESIDENT) |
Mailing Address: | 1002 Martin Luther King Dr Alton |
State: | IL US |
Postal Code: | 620022329 |
Phone Number: | 6184652815 |
Fax Number: | 6184652802 |
NPI Enumeration Date: | 05/24/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 341600000X |
License Number: | 4880 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | |
Taxonomy Definition: | 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). |