NPIMap

Organization Active NPI

Lifestar Emergency Services - 2023

  • Land Ambulance
  • Winston Salem, NC
National Provider Identifier
1154864866
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
LIFESTAR EMERGENCY SERVICES - 2023
Practice address
3475 Myer Lee Dr
Winston Salem, NC 27101-6209
Phone
(336) 722-5433
Fax
(888) 758-5694
NPI assigned
Nov 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Michael Lee Hoots
Title
President
Phone
(336) 722-5433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

3475 Myer Lee Dr
Winston Salem, NC 27101-6209

Mailing address

PO Box 309
Lewisville, NC 27023-0309
Phone (336) 722-5433

National Provider Directory

National Provider Directory

Locations

3475 Myer Lee Dr
Winston Salem, NC 27101
Phone (336) 722-5433

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1154864866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270230309",
            "telephone_number": "336-722-5433",
            "fax_number": "363-232-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 MYER LEE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271016209",
            "telephone_number": "336-722-5433",
            "fax_number": "888-758-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTAR EMERGENCY SERVICES - 2023",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "HOOTS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-722-5433"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.