Organization
LIFESTAR RESPONSE OF ALABAMA, INC.
Active
Parent organization
FALCK EMS CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
FALCK EMS CORP
Authorized official
MR. CHARLES MAYMON (REGIONAL CEO)
(954) 868-6668
Entity
Organization
Contact information
Practice address
1150 PANAMA ST. SOUTH, MONTGOMERY, AL 36107-2704
(800) 449-4911
(334) 262-2538
Mailing address
PO BOX 530481, ATLANTA, GA 30353-0481
(888) 876-2100
(888) 790-0688
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
003074
AL
3416L0300X
Land Ambulance
Primary
1039
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200051103
—
AL
Enumeration date
09/29/2005
Last updated
03/02/2018
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