LIFESTAR AMBULANCE, INC. (NPI# 1912910092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912910092 |
| Entity Type | Organization |
| Organization Name | LIFESTAR AMBULANCE, INC. |
| Practice Address |
1024 S Tower Dr Salisbury MD 21804-6474 |
| Practice Telephone | 4105460809 |
| Practice Fax Number | 4108605260 |
| Mailing Telephone | 4105460809 |
| Mailing Fax Number | 4108605260 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2007-10-16 |
| Authorized Official Name | MS. JACQUELINE TARR FOWLER (PRESIDENT) |
| Authorized Official Telephone | 4105460809 |
| Authorized Official Credential | RN, CRTT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | 2204 | MD | Transportation Services |
| Y | 341600000X | Ambulance | 063 | MD | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 00141515 | 05 |
| Street Address |
1024 S TOWER DR |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804-6474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841262490 | Ahp Delmarva LLP | Durable Medical Equipment & Medical Supplies | 1024 S Tower Dr, Salisbury, MD 21804-6474 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1356904874 | Carly Showell Finkbeiner | Behavioral Analyst | 30507 Foxchase Dr, Salisbury, MD 21804 | 2019-04-19 |
| 1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
| 1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
| 1639662745 | Peninsula Physical Therapy, LLC | Physical Therapist | 720 E College Ave Ste 11, Salisbury, MD 21804 | 2018-06-13 |
| 1376079533 | Kerry Choplin | Behavior Technician | 8032 Snow Hill Rd., Salisbury, MD 21804 | 2017-05-10 |
| 1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
| 1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
| Find all providers in zip 21804 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| 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). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235685173 | Town of Salisbury | Ambulance | 273 Old Turnpike Rd., Salisbury, NH 03268-5516 | 2016-08-31 |
| 1700236676 | Phase II Transportation Inc | Ambulance | 109 S Mccoy Rd, Salisbury, NC 28144 | 2016-06-21 |
| 1437250347 | County of Rowan | Ambulance | 130 West Innes Street, Salisbury, NC 28144 | 2006-09-25 |
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|---|---|---|---|---|
| 1831731363 | Detos Services LLC | Ambulance | 7609 Fontainebleau Drive, #2213, New Carrollton, MD 20784 | 2019-10-16 |
| 1588213482 | First Priority Ambulance | Ambulance | 3610 Milford Mill Rd Ste T4, Baltimore, MD 21244-3372 | 2019-09-04 |
| 1700449782 | Howard County Maryland | Ambulance | 2201 Warwick Way, Marriottsville, MD 21104-1600 | 2019-04-16 |
| 1669934972 | The Charles County Mobile Intensive Care Unit Inc | Ambulance | 10700 Billingsley Rd, White Plains, MD 20695-3075 | 2019-04-04 |
| 1174035448 | Waldorf Volunteer Fire Department, Inc. | Ambulance | 3245 Old Washington Rd, Waldorf, MD 20602-3202 | 2017-10-26 |
| 1386194629 | Okaford Inc | Ambulance | 5844 Belair Rd Ste 1, Baltimore, MD 21206-2657 | 2016-10-11 |
| 1952850299 | First Class Ambulance Services LLC | Ambulance | 1680 Solomons Island Rd S, Prince Frederick, MD 20678-3302 | 2016-09-28 |
| 1609329812 | Board of Garrett County Commissioners | Ambulance | 313 E Alder St, Room 104, Oakland, MD 21550-1593 | 2016-07-25 |
| 1821464678 | Baltimore County Maryland Office of Finance | Ambulance | 700 E Joppa Rd Fl 4, Towson, MD 21286-5505 | 2015-08-17 |
| 1770997058 | Premier Medical Transport | Ambulance | 3922 Vero Rd, Baltimore, MD 21227-1566 | 2014-06-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.