Provider Demographics
NPI:1568616803
Name:LIFESTAR PARAMEDICS, INC.
Entity Type:Organization
Organization Name:LIFESTAR PARAMEDICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:S
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:937-324-1059
Mailing Address - Street 1:211 LARCHMONT AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45503-5421
Mailing Address - Country:US
Mailing Address - Phone:937-324-1059
Mailing Address - Fax:937-324-1059
Practice Address - Street 1:211 LARCHMONT AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45503-5421
Practice Address - Country:US
Practice Address - Phone:937-324-1059
Practice Address - Fax:937-324-1059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance