UT LIFESTAR, LLC (NPI# 1033307871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033307871 |
| Entity Type | Organization |
| Organization Name | UT LIFESTAR, LLC |
| Other Organization Name | UT LIFESTAR 4 |
| Practice Address |
131 First Quality Drive Andersonville TN 37705-4132 |
| Mailing Address |
Po Box 708 West Plains MO 65775-0708 |
| Practice Telephone | 8652566284 |
| Mailing Telephone | 4172572104 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2011-03-31 |
| Authorized Official Name | DAVID HINTON (VP OF FINANCE) |
| Authorized Official Telephone | 4172560010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
EMS0000010038 | TN | Transportation Services |
| Other Name | Type Code |
|---|---|
| UT LIFESTAR 4 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144433129 | Ut Lifestar, LLC | Ambulance | 255 Highway 322 E, Sweetwater, TN 37874-0000 | 2007-05-07 |
| 1992927677 | Ut Lifestar, LLC | Ambulance | 615 N High St, Morristown, TN 37814-3871 | 2007-05-03 |
| 1821210618 | Ut Lifestar, LLC | Ambulance | 1255 Airport Rd, Sevierville, TN 37862-3725 | 2007-05-03 |
| Street Address |
131 FIRST QUALITY DRIVE |
| City | ANDERSONVILLE |
| State | TN |
| Zip Code | 37705-4132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437349354 | Heidi Marie White | Respiratory Therapist, Registered | 202 Sportsman Ln, Andersonville, TN 37705-2935 | 2007-07-26 |
| 1194192658 | Tcb Home Services | Home Health | 356 Fox Hollow Ln, Andersonville, TN 37705-3102 | 2015-08-31 |
| 1306268859 | Robert Eklund | Emergency Medicine | 715 Mill Creek Rd, Andersonville, TN 37705-3133 | 2014-01-16 |
| 1699952978 | Lawerence A Helveston | Chiropractor | 122 Lambdin Rd, Andersonville, TN 37705-3808 | 2008-01-29 |
| 1194803601 | Hatmaker Family Pharmacy Inc | Pharmacy | 3318 Andersonville Hwy, Andersonville, TN 37705-3816 | 2006-11-01 |
| 1689611030 | Terri L Crabtree | Nurse Practitioner | 3382 Andersonville Hwy, Andersonville, TN 37705-3816 | 2006-06-01 |
| 1619528668 | Beth Ann Martin | Occupational Therapy Assistant | 3382 Andersonville Hwy, Andersonville, TN 37705-3816 | 2019-09-21 |
| 1407977069 | Ssc Andersonville Operating Company LLC | Nursing Facility/Intermediate Care Facility | 3382 Andersonville Hwy, Andersonville, TN 37705-3816 | 2007-04-02 |
| 1295136018 | Christa Taylor | Radiologic Technologist | 153 Alley Rd, Andersonville, TN 37705-3910 | 2014-09-11 |
| 1427448430 | Divinity Health Diagnostics,llc | Clinic/Center | 153 Alley Rd, Andersonville, TN 37705-3910 | 2015-01-28 |
| Find all providers in zip 37705 | ||||
| Taxonomy Code | 3416A0800X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Air Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265077259 | Air Evac Ems, Inc. | Ambulance | 1401 Diggs Rd Ste B, Paris, TN 38242-7538 | 2019-11-13 |
| 1326681594 | Chc901 LLC | Ambulance | 2565 Horizon Lake Dr Ste 110, Memphis, TN 38133-8113 | 2019-10-21 |
| 1003394933 | Air Evac Ems, Inc. | Ambulance | 4575 Guthrie Hwy, Clarksville, TN 37040-5422 | 2018-08-02 |
| 1609374537 | East Texas Air One LLC | Ambulance | 1 Burton Hills Blvd Ste 250, Nashville, TN 37215-6195 | 2018-01-25 |
| 1497263164 | Care Med Ambulance LLC | Ambulance | 2511 Riverside Dr Ste B5, Chattanooga, TN 37406 | 2018-01-16 |
| 1659887545 | Rocky Mountain Holdings, Lcc | Ambulance | 4570 S Jefferson Ave, Cookeville, TN 38506 | 2017-12-14 |
| 1053824052 | Rocky Mountain Holdings, LLC | Ambulance | 1949 Driggs Road, Paris, TN 38242 | 2017-11-13 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1699216762 | Rocky Mountain Holdings, LLC | Ambulance | 603 Hangar Ln, Nashville, TN 37217 | 2017-03-09 |
| 1023551298 | Air Evac Ems, Inc. | Ambulance | 83 W Holley Street Ext, Parsons, TN 38363-4800 | 2016-11-21 |
| Find all providers with the same taxonomy | ||||
| City | ANDERSONVILLE |
| Zip Code | 37705 |
Please comment or provide details below to improve the information on UT LIFESTAR, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.