Lifestar Ambulance, Inc.

LBN: Lifestar Ambulance, Inc.
Lifestar Ambulance, Inc. is an health care organization with primary practice located at 1024 S Tower Dr , Salisbury MD 21804-6474. The organization recently has 2 registered licenses in different health care specialties including Transportation Services / Ambulance, Transportation Services / Non-emergency Medical Transport (VAN). Transportation Services / Ambulance is the primary health care specialty. Lifestar Ambulance, Inc. can be contacted via phone (410) 546-0809, or through Fowler, Jacqueline Tarr via phone (410) 546-0809.

Contact Information

Primary practice address
1024 S Tower Dr Salisbury MD 21804-6474
Phone: (410) 546-0809
Fax: (410) 860-5260
Website:
Map and Directions
Authorized official contact:
Name: Fowler, Jacqueline Tarr RN, CRTT
Phone: (410) 546-0809

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Ambulance 341600000X 063 Maryland
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X 2204 Maryland

Profile Details

NPI number 1912910092
LBN Legal business name Lifestar Ambulance, Inc.
DBA Doing business as
Authorized official Fowler, Jacqueline Tarr RN, CRTT
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2006
Last updated Oct 16th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912910092 NPPES
Delaware MEDICAID 00141515

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