LIFESTAR LLC NPI 1699752998

NPI Information

LIFESTAR LLC is an ambulance in Payson, AZ. The provider is 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). LIFESTAR LLC NPI is 1699752998. The provider is registered as an organization entity type.
The provider Is Doing Business As Canyon State Ambulance.

The provider's business location address is:

1014 S WESTERLY
PAYSON, AZ
ZIP 85541
Phone: (928) 474-2831
Fax: (928) 474-6188

The provider's authorized official is Ralph J Vassallo .
The authorized official title is Vice President Of Billing Services and has the following contact phone number (602) 437-6620.

The enumeration date for this NPI number is 12/28/2005 and was last updated on 11/3/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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