Organization Active NPI

Lifestar Ambulance Inc

  • Ambulance
  • Abington, PA
National Provider Identifier
1093802035
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
03235 Issued in PA
Legal business name
LIFESTAR AMBULANCE INC
Practice address
2427 Susquehanna Road
Abington, PA 19001
Phone
(800) 656-4911
Fax
(800) 803-5345
NPI assigned
Oct 10, 2006
Last updated
Mar 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2013

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

Authorized official

Name
Mr. Michael John Kling
Title
President
Phone
(800) 656-4911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 03235 PA Primary

Addresses

Primary practice location

2427 Susquehanna Road
Abington, PA 19001

Mailing address

2427 Susquehanna Road
Abington, PA 19001
Phone (800) 656-4911

Other identifiers 4

IdentifierTypeStateIssuer
0002060000OtherPAINDEPENCE BLUE CROSS
30015383OtherPAKEYSTONE MERCY
34320OtherPAHEALTH PARTNERS
1008148260001MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362700800000",
    "number": "1093802035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 SUSQUEHANNA ROAD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "19001",
            "telephone_number": "800-656-4911",
            "fax_number": "800-803-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 SUSQUEHANNA ROAD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "19001",
            "telephone_number": "800-656-4911",
            "fax_number": "800-803-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTAR AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2013-03-08",
        "status": "A",
        "authorized_official_last_name": "KLING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-656-4911",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "03235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENCE BLUE CROSS",
            "identifier": "0002060000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30015383",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "34320",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008148260001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.