Organization
SIERRA LIFESTAR INC.,
Active
Other names
LifeStar Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACKIE K BERST (VICE-PRESIDENT)
(559) 688-2550
Entity
Organization
Contact information
Practice address
234 N M ST, TULARE, CA 93274-4139
(559) 688-2550
(559) 688-2714
Mailing address
PO BOX 1101, TULARE, CA 93275-1101
(559) 688-2550
(559) 688-2714
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
AMB06/005
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTE00775F
—
CA
Enumeration date
09/27/2006
Last updated
04/20/2008
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