LIFESTAT AMBULANCE SERVICE INC NPI 1427038355

NPI Information

NPI: 1427038355
Provider Name: LIFESTAT AMBULANCE SERVICE INC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 39D0868747

Address:
301 SALT ST
STE 1
SALTSBURG, PA
ZIP 15681
Phone: (724) 639-3043
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LIFESTAT AMBULANCE SERVICE INC is a land transport ambulance in Saltsburg, PA. LIFESTAT AMBULANCE SERVICE INC NPI is 1427038355. The provider is registered as an organization entity type.

The provider's business location address is:

301 SALT ST
STE 1
SALTSBURG, PA
ZIP 15681-122
Phone: (724) 639-3043
Fax: (724) 639-3343

The provider's authorized official is John C Kravetsky .
The authorized official title is President and has the following contact phone number (724) 639-3868.

The CLIA number assigned to this NPI record is 39D0868747 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2006 and was last updated on 8/22/2020.

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	03374	PENNSYLVANIA	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	1811395600001	OTHER		MEDICAL ASSIST DPA
2	1811395600001	MEDICAID	PENNSYLVANIA
3	205534	OTHER		KEYSTONE HEALTH PLAN
4	13522	OTHER		MED PLUS
5	205534	OTHER		HGSADMIN
6	205534	OTHER		SECURITY BLUE
7	6472	OTHER		HEALTH ASSURANCE
8	1001414	OTHER		GATEWAY
9	P219938	OTHER		CHAMPUS TRICARE
10	205534	OTHER		HIGHMARKS
11	205534	OTHER		SELECT BLUE
12	1412565	OTHER		UMWA
13	8190160	OTHER		INDEPENDENT HEALTH
14	0944090	OTHER	OHIO	OHIO MEDICAL ASSIST
15	69619	OTHER		THREE RIVERS
16	A28600	OTHER		HEALTH AMERICA

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: 5/5/2024

NPI Synchronization or Removal

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