Organization
LIFESTAR AMBULANCE SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD FRANKLIN BRYANT JR. NREMT-P (CO-OWNER)
(434) 634-1144
Entity
Organization
Contact information
Practice address
300 N MAIN ST, EMPORIA, VA 23847-1608
(434) 634-1144
(434) 634-1155
Mailing address
300 N MAIN ST, EMPORIA, VA 23847-1608
(434) 634-1144
(434) 634-1155
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
432381
ANTHEM BLUE CROSS
VA
Enumeration date
07/20/2006
Last updated
08/22/2020
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