Lifestar Ambulance Service, Inc.
NPI #1780639823 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1780639823
- Entity Type
- Organization
- Organization Name
- Lifestar Ambulance Service, Inc.
- Primary Specialty
- Ambulance
- Enumeration Date
- May 24, 2006
- Last Updated
- Jul 17, 2023
Practice Location
- Address
- 528 S WEST ST
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-2873
- Phone
- (217) 245-7540
Authorized Official
- Name
- ROGER D. CAMPBELL
- Title
- PRESIDENT
- Phone
- (618) 532-2474
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ambulance - Land Transport — Land Transport |
| Ambulance |
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