Active NPI
Lifestat Ambulance Service Inc
- Land Ambulance
- Saltsburg, PA
National Provider Identifier
1427038355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 03374
- Legal business name
- LIFESTAT AMBULANCE SERVICE INC
- Practice address
- 301 Salt St
Ste 1
Saltsburg, PA 15681-1122 - Phone
- (724) 639-3043
- Fax
- (724) 639-3343
- NPI assigned
- Jan 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John C Kravetsky, CRITICAL CARE EMT P
- Title
- President
- Phone
- (724) 639-3868
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 03374 | PA | Primary |
Addresses
Primary practice location
301 Salt St
Ste 1
Saltsburg, PA 15681-1122
Mailing address
301 Salt St
Ste 1
Saltsburg, PA 15681-1122
Phone (724) 639-3043
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13522 | Other | MED PLUS | |
| 1811395600001 | Medicaid | PA | |
| A28600 | Other | HEALTH AMERICA | |
| 1001414 | Other | GATEWAY | |
| 205534 | Other | HIGHMARKS | |
| 205534 | Other | HGSADMIN | |
| 8190160 | Other | INDEPENDENT HEALTH | |
| 1811395600001 | Other | MEDICAL ASSIST DPA | |
| 205534 | Other | KEYSTONE HEALTH PLAN | |
| 205534 | Other | SELECT BLUE | |
| P219938 | Other | CHAMPUS TRICARE | |
| 0944090 | Other | OH | OHIO MEDICAL ASSIST |
| 205534 | Other | SECURITY BLUE | |
| 6472 | Other | HEALTH ASSURANCE | |
| 1412565 | Other | UMWA | |
| 69619 | Other | THREE RIVERS |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0868747 | Lifestat Ambulance Service Inc | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
301 Salt St
Saltsburg, PA 15681
Phone (412) 639-3043
301 Salt St
Ste 1
Saltsburg, PA 15681
Phone (724) 639-3043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1427038355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 SALT ST",
"address_2": "STE 1",
"city": "SALTSBURG",
"state": "PA",
"postal_code": "156811122",
"telephone_number": "724-639-3043",
"fax_number": "724-639-3343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 SALT ST",
"address_2": "STE 1",
"city": "SALTSBURG",
"state": "PA",
"postal_code": "156811122",
"telephone_number": "724-639-3043",
"fax_number": "724-639-3343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFESTAT AMBULANCE SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KRAVETSKY",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "724-639-3868",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CRITICAL CARE EMT P"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "03374",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MED PLUS",
"identifier": "13522",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811395600001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "A28600",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1001414",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARKS",
"identifier": "205534",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HGSADMIN",
"identifier": "205534",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "8190160",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ASSIST DPA",
"identifier": "1811395600001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN",
"identifier": "205534",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT BLUE",
"identifier": "205534",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS TRICARE",
"identifier": "P219938",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO MEDICAL ASSIST",
"identifier": "0944090",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECURITY BLUE",
"identifier": "205534",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ASSURANCE",
"identifier": "6472",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1412565",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS",
"identifier": "69619",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Saltsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.