LIFESTAR AMBULANCE SERVICE, INC.


Address: 528 S West St, Jacksonville, IL 62650-2873
Phone: 2172457540

LIFESTAR AMBULANCE SERVICE, INC. (NPI# 1780639823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780639823
Entity Type Organization
Organization Name LIFESTAR AMBULANCE SERVICE, INC.
Practice Address 528 S West St
Jacksonville
IL 62650-2873
Mailing Address 940 N Elm St
Po Box 1838
Centralia
IL 62801-2326
Practice Telephone 2172457540
Practice Fax Number 2172434805
Mailing Telephone 6185322474
Mailing Fax Number 6185327795
Enumeration Date 2006-05-24
Last Update Date 2020-08-22
Authorized Official Name ROGER D. CAMPBELL (PRESIDENT)
Authorized Official Telephone 6185322474
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 341600000X Ambulance 3633 IL Transportation Services

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1336189653 Lifestar Ambulance Service, Inc. Ambulance 4700 Broadway St, Mount Vernon, IL 62864-6724 2006-06-07

Office Location

Street Address 528 S WEST ST
City JACKSONVILLE
State IL
Zip Code 62650-2873

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134768708 Stephanie Lee Mabus Occupational Therapy Assistant 873 Gorve St, Jacksonville, IL 62650 2019-12-31
1285281071 Sharshon Pharmacy Inc Pharmacy 154 W Morton Ave, Jacksonville, IL 62650 2019-08-26
1992275499 Brittany Ruth Helmich Counselor 340 W. State St., Jacksonville, IL 62650 2018-11-28
1811391782 Rodney E. Overstreet Hearing Instrument Specialist 1521 W. Walnut, Jacksonville, IL 62650 2014-10-21
1407979818 Jan Ala Speech-Language Pathologist 1111 W Morton, Speechworks, Jacksonville, IL 62650 2007-04-09
1083787592 Eldon G Barrowes Dds & Assoc PC Dentist 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 2006-11-15
1194895979 Joseph J Kozma Internal Medicine 1440 West Walnut, Jacksonville, IL 62650 2006-11-08
1740350529 Susan Weller Dentist 1614 West Lafayette Avenue, Jackson, IL 62650 2006-11-08
1659467793 Shawn M Fry Family Medicine 610 N. Westgate, Jacksonville, IL 62650 2006-10-05
1518050061 Ward Richard Dunseth II Nurse Anesthetist, Certified Registered 1400 W Walnut, Jacksonville, IL 62650 2006-10-02
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Taxonomy Information

Taxonomy Code 341600000X
Grouping Transportation Services
Classification Ambulance

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).
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790344620 Chosenkare Transporting LLC Ambulance 2059 Evergreen Ave, Jacksonville, FL 32206-3977 2019-06-13
1538370168 Medstar Solutions, Inc Ambulance 2003 Old Military Rd, Jacksonville, AR 72076-8734 2007-05-25
1508947623 Village of Jacksonville Ambulance 37 South Sixth St, Jacksonville, OH 45740 2006-10-17
1407820665 Whitingham Ambulance Service Inc Ambulance 2964 Rt 100, Jacksonville, VT 05342 2006-02-15
1124003850 Arkansas Emergency Transport, LLC Ambulance 2003 Military Road, Jacksonville, AR 72076 2005-12-15
1356341531 City of Jacksonville Ambulance 515 N Julia St, Jacksonville, FL 32202-4128 2005-07-28
1124594619 Mt Medical Florida, Inc Ambulance 6820 Southpoint Pkwy, Jacksonville, FL 32216-6276 2018-10-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750980058 Ivan V Knight Ambulance 322 Campbell Ave, Calumet City, IL 60409-2011 2020-10-19
1366064057 Morris Fire & Ambulance Protection District Ambulance 2301 Ashton Rd, Morris, IL 60450-8615 2020-05-15
1821624966 Covenant Health Ambulance Service, Inc Ambulance 1619b Weid Rd, Elgin, IL 60123-5825 2020-03-20
1053942920 Village of Robbins Ambulance 3327 W 137th Street, Robbins, IL 60472-1636 2020-01-30
1093372187 Vital Ambulance Services LLC Ambulance 18781 90th Ave., Suite A, Mokena, IL 60448 2019-05-23
1831668458 Midway Ems Ambulance 5155 Torque Rd # B, Loves Park, IL 61111-7144 2018-11-14
1336637248 Paramedic Services of Illinois, Inc. Ambulance 1222 W. Veterans Parkway, Yorkville, IL 60560-4728 2018-04-26
1255832564 Lifeguard Ambulance Service of Illinois Inc. Ambulance 219 W Jackson St, Macomb, IL 61455 2018-02-22
1891293288 Hamel Fire Protection District Ambulance 401 N Old Us Route 66, Hamel, IL 62046-1071 2018-01-31
1144761503 Ah, LLC Ambulance 741 N Main St, Manteno, IL 60950-1254 2017-03-17
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Competitor

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City JACKSONVILLE
Zip Code 62650

Improve Information

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Dataset Information

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.

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