Lifestar Rural EMS Solutions

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LIFESTAR RURAL EMS SOLUTIONS

Practice address

3 Pump House Rd
Garden Valley, ID 83622-5059

Phone

(208) 781-1862

NPI assigned

Sep 30, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Irving Paine, NRP

Title

Director

Phone

(208) 781-1862

Specialties & licenses 1

Addresses

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1093487878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758",
            "city": "GARDEN VALLEY",
            "state": "ID",
            "postal_code": "836220758",
            "telephone_number": "208-781-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PUMP HOUSE RD",
            "city": "GARDEN VALLEY",
            "state": "ID",
            "postal_code": "836225059",
            "telephone_number": "208-781-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTAR RURAL EMS SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "PAINE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "IRVING",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "208-781-1862",
        "authorized_official_credential": "NRP"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@lifestarruralems.org",
            "affiliation": "N",
            "address_1": "3 Pump House Rd",
            "city": "Garden Valley",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836225059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Land Ambulance in Garden Valley, ID
• Providers in Garden Valley, ID by specialty
• Land Ambulance in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.