LIFESTAR RESPONSE OF ALABAMA INC. NPI 1285621797

NPI Information

NPI: 1285621797
Provider Name: LIFESTAR RESPONSE OF ALABAMA, INC.
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
1150 PANAMA ST. SOUTH
MONTGOMERY, AL
ZIP 36107
Phone: (800) 449-4911
Get Directions

LIFESTAR RESPONSE OF ALABAMA, INC. is a land transport ambulance in Montgomery, AL. LIFESTAR RESPONSE OF ALABAMA, INC. NPI is 1285621797. The provider is registered as an organization entity type.

The provider's business location address is:

1150 PANAMA ST. SOUTH
MONTGOMERY, AL
ZIP 36107-704
Phone: (800) 449-4911
Fax: (334) 262-2538

The provider's authorized official is Charles Maymon .
The authorized official title is Regional Ceo and has the following contact phone number (954) 868-6668.

The enumeration date for this NPI number is 9/29/2005 and was last updated on 3/2/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	003074	ALABAMA	No
2	3416L0300X	Ambulance	Land Transport	1039	ALABAMA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200051103	MEDICAID	ALABAMA

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

NPI Synchronization or Removal

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