Organization Active NPI

Lifestar E.M.S.

  • Land Ambulance
  • Lexington, SC
National Provider Identifier
1427355700
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
281 Issued in SC
Legal business name
LIFESTAR E.M.S.
Practice address
130 Conner Rd
Lexington, SC 29072-7124
Phone
(803) 386-7367
NPI assigned
Feb 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Authorized official

Name
Mr. Brian Clackley
Title
Chief
Phone
(803) 386-7367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 281 SC Primary

Addresses

Primary practice location

130 Conner Rd
Lexington, SC 29072-7124

Mailing address

PO Box 411
Lexington, SC 29071-0411

National Provider Directory

National Provider Directory

Locations

130 Conner Rd
Lexington, SC 29072
Phone (803) 386-7367

129 Wade St
West Columbia, SC 29169
Phone (803) 386-7367

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1427355700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290710411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CONNER RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727124",
            "telephone_number": "803-386-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTAR E.M.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "CLACKLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "803-386-7367",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SC",
            "license": "281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.