NPI 1699752998 · live from the CMS NPI Registry
Lifestar LLC
Ambulance in Payson, AZ. National Provider Identifier 1699752998, active.
NPI record
| NPI | 1699752998 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance 341600000X |
| Practice location | 1014 S Westerly, Payson, AZ 85541 |
| Practice phone | 928-474-2831 |
| Mailing address | Po Box 63068, Phoenix, AZ 85082 |
| Enumerated | December 28, 2005 |
| Last updated | November 3, 2009 |
| Authorized official | Ralph Vassallo, Vice President Of Billing Services |
| Other names | Canyon State Ambulance |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance primary | 341600000X | 58 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.