MEMORIAL HEALTH TRANSPORTONE INC NPI 1972582740

NPI Information

NPI: 1972582740
Provider Name: MEMORIAL HEALTH TRANSPORTONE INC

Doing Business As: LIFESTARONE

Classification: Ambulance - 3416A0800X
Entity Type: Organization

Specialization: Air Transport

Address:
4700 WATERS AVE
SAVANNAH, GA
ZIP 31404
Phone: (912) 350-8068
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MEMORIAL HEALTH TRANSPORTONE INC is an air transport ambulance in Savannah, GA. MEMORIAL HEALTH TRANSPORTONE INC NPI is 1972582740. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifestarone.

The provider's business location address is:

4700 WATERS AVE
SAVANNAH, GA
ZIP 31404-220
Phone: (912) 350-8068
Fax: (912) 350-3408

The provider's authorized official is Suzanne B Heck .
The authorized official title is Cfo and has the following contact phone number (912) 350-8386.

The enumeration date for this NPI number is 1/11/2006 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	3416A0800X	Ambulance	Air Transport			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	930950	OTHER		BLUE CROSS OF GA
2	00879513A	MEDICAID	GEORGIA
3	AB0054	MEDICAID	SOUTH CAROLINA

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: 4/28/2024

NPI Synchronization or Removal

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