Tristar Mobile Medicine, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TRISTAR MOBILE MEDICINE, LLC

Doing business as

SkyLife Mobile Care

Practice address

1000 Health Park Dr Ste 500
Brentwood, TN 37027-5580

Phone

(615) 886-4910

NPI assigned

Jun 8, 2023

Organization subpart

No

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

Authorized official

Name

Wesley D Fountain

Title

Division Cfo

Phone

(615) 886-4910

Specialties & licenses 1

Addresses

Other names 1

• SkyLife Mobile Care Doing business as

Locations

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1427742691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HEALTH PARK DR STE 500",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HEALTH PARK DR STE 500",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275580",
            "telephone_number": "615-886-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTAR MOBILE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "FOUNTAIN",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIVISION CFO",
        "authorized_official_telephone_number": "615-886-4910"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SkyLife Mobile Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Land Ambulance in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.