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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 341600000X | Ambulance | 3633 | IL | Transportation Services |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336189653 | Lifestar Ambulance Service, Inc. | Ambulance | 4700 Broadway St, Mount Vernon, IL 62864-6724 | 2006-06-07 |
Street Address |
528 S WEST ST |
City | JACKSONVILLE |
State | IL |
Zip Code | 62650-2873 |
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 |
Find all providers in zip 62650 |
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. |
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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 |
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 |
Find all providers with the same taxonomy |
City | JACKSONVILLE |
Zip Code | 62650 |
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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.