Organization Active NPI

Ut Lifestar, LLC

  • Air Ambulance
  • Morristown, TN
National Provider Identifier
1992927677
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
EMS0000010038 Issued in TN
Legal business name
UT LIFESTAR, LLC
Practice address
615 N High St
Morristown, TN 37814-3871
Phone
(423) 318-6746
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Authorized official

Name
David Hinton
Title
VP of Finance
Phone
(417) 256-0010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X EMS0000010038 TN Primary

Addresses

Primary practice location

615 N High St
Morristown, TN 37814-3871

Mailing address

PO Box 708
West Plains, MO 65775-0708
Phone (417) 257-2104

Other names 1

  • UT LIFESTAR 1 Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1992927677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657750708",
            "telephone_number": "417-257-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N HIGH ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143871",
            "telephone_number": "423-318-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UT LIFESTAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "HINTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "417-256-0010"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "TN",
            "license": "EMS0000010038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UT LIFESTAR 1",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.