Active NPI
Lifestar E.M.S.
- Land Ambulance
- Lexington, SC
National Provider Identifier
1427355700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 281
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.