# LIFESTAR RESPONSE OF ALABAMA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FALCK EMS CORP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285621797
- **Legal business name:** FALCK EMS CORP
- **Authorized official:** MR. CHARLES MAYMON (REGIONAL CEO)
- **Authorized official phone:** (954) 868-6668

## Contact information

- **Practice address:** 1150 PANAMA ST. SOUTH, MONTGOMERY, AL 36107-2704
- **Practice address phone:** (800) 449-4911
- **Practice address fax:** (334) 262-2538
- **Mailing address:** PO BOX 530481, ATLANTA, GA 30353-0481
- **Mailing address phone:** (888) 876-2100
- **Mailing address fax:** (888) 790-0688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 003074 | AL | — |
| 3416L0300X | Land Ambulance | 1039 | AL | Yes |

## Other

- **Enumeration date:** 09/29/2005
- **Last updated:** 03/02/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200051103 | — | AL |