| Organization Name: | LIFESTAR AMBULANCE SERVICE, INC. |
| NPI Number: | 1780639823 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROGER D. CAMPBELL (PRESIDENT) |
| Mailing Address: | 528 S West St Jacksonville |
| State: | IL US |
| Postal Code: | 626502873 |
| Phone Number: | 2172457540 |
| Fax Number: | 2172434805 |
| 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: | 3633 |
| 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). |