Organization
LIFESTAR AMBULANCE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHY NELSON (DIRECTOR)
(419) 245-6210
Entity
Organization
Contact information
Practice address
1402 LAGRANGE ST, TOLEDO, OH 43608-2928
(419) 245-6210
(419) 245-7003
Mailing address
1402 LAGRANGE ST, TOLEDO, OH 43608-2928
(419) 245-6210
(419) 251-7003
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
480049
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0627665
—
OH
01
—
590004782
RAILROAD MEDICARE
OH
Enumeration date
07/18/2005
Last updated
04/18/2019
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