LIFESTAR AMBULANCE SERVICE,INC. (NPI# 1629025051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629025051 |
| Entity Type | Organization |
| Organization Name | LIFESTAR AMBULANCE SERVICE,INC. |
| Practice Address |
336 N 2nd St Springfield IL 62702-5120 |
| Mailing Address |
940 N Elm St Po Box 1838 Centralia IL 62801-2326 |
| Practice Telephone | 2175228831 |
| Practice Fax Number | 2175289548 |
| Mailing Telephone | 6185322474 |
| Mailing Fax Number | 6185327795 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROGER D CAMPBELL (PRESIDENT) |
| Authorized Official Telephone | 6185322474 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | 3633 | IL | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487608055 | Lifestar Ambulance Service,inc. | Ambulance | 940 N Elm St, Centralia, IL 62801-2326 | 2006-05-19 |
| Street Address |
336 N 2ND ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-5120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| 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). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962026757 | Swift Ambulance Service | Ambulance | 2791 Main Street, Springfield, NH 03284 | 2020-06-08 |
| 1568616803 | Lifestar Paramedics, Inc. | Ambulance | 211 Larchmont Ave, Springfield, OH 45503-5421 | 2008-11-13 |
| 1821200627 | Springfield Area Rescue Squad Inc | Ambulance | Mary Sue Lane, Springfield, WV 26763 | 2007-05-04 |
| 1316167489 | Southeast Colorado Hospital District Ambulance | Ambulance | 972 Kansas St, Springfield, CO 81073-1643 | 2007-04-30 |
| 1962622613 | City of Springfield Finance Office | Ambulance | 807 9th Street, Springfield, SD 57062-0268 | 2007-04-26 |
| 1811035082 | Township of German | Ambulance | 3940 Lawrenceville Dr, Springfield, OH 45504-4458 | 2007-02-01 |
| 1881758654 | Springfield Area Ambulance, Inc. | Ambulance | 3219 E Carpenter St, Springfield, IL 62702-6201 | 2006-12-19 |
| 1619056538 | America Ambulance Service, Inc. | Ambulance | 1511 S 5th St, Springfield, IL 62703-2806 | 2006-11-02 |
| 1851482574 | Town of Springfield | Ambulance | 77 Hartness Ave, Springfield, VT 05156-2737 | 2006-09-27 |
| 1265461321 | Moorefield Township Trustees | Ambulance | 1616 Moorefield Rd, Springfield, OH 45503-5983 | 2006-07-01 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
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| 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.