Lifestar Emergency Medical Services, Llc

LBN: Lifestar Emergency Medical Services, Llc
Lifestar Emergency Medical Services, Llc is an health care organization with primary practice located at 279 S 17Th Ave Stop 8 , West Bend WI 53095-3001. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Lifestar Emergency Medical Services, Llc can be contacted via phone (262) 335-9950, or through Krueger, Michael L via phone (262) 335-9950.

Contact Information

Primary practice address
279 S 17Th Ave Stop 8 West Bend WI 53095-3001
Phone: (262) 335-9950
Fax: (262) 335-9720
Website:
Map and Directions
Authorized official contact:
Name: Krueger, Michael L EMTP
Phone: (262) 335-9950

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 6001359 Wisconsin

Profile Details

NPI number 1366424707
LBN Legal business name Lifestar Emergency Medical Services, Llc
DBA Doing business as
Authorized official Krueger, Michael L EMTP
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2005
Last updated Aug 13th, 2021 - about 5 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 1366424707 NPPES
Wisconsin MEDICAID 41353100
Wisconsin MEDICAID 41475100

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