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LIFESTAR AMBULANCE INC. NPI 1912910092


NPI Information

NPI: 1912910092
Provider Name: LIFESTAR AMBULANCE, INC.
Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 08D2031690

Address:
1024 S TOWER DR
SALISBURY, MD
ZIP 21804
Phone: (410) 546-0809
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LIFESTAR AMBULANCE, INC. is an ambulance in Salisbury, MD. 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 AMBULANCE, INC. NPI is 1912910092. The provider is registered as an organization entity type.

The provider's business location address is:

1024 S TOWER DR
SALISBURY, MD
ZIP 21804-474
Phone: (410) 546-0809
Fax: (410) 860-5260

The provider's authorized official is Jacqueline Tarr Fowler .
The authorized official title is President and has the following contact phone number (410) 546-0809.

The CLIA number assigned to this NPI record is 08D2031690 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 10/16/2007.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1343900000XNon-emergency Medical Transport (VAN)2204MARYLANDNo
2341600000XAmbulance063MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1490470MEDICARE PINDELAWARE
2038Q MDMEDICARE ID-TYPE UNSPECIFIEDMARYLAND
300141515MEDICAIDDELAWARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.