Organization
MEMORIAL HEALTH TRANSPORTONE INC
Active
Other names
LifeStarOne
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZANNE B HECK (CFO)
(912) 350-8386
Entity
Organization
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8068
(912) 350-3408
Mailing address
PO BOX 16149, 4700 WATERS AVENUE CLARK TERRACE SUITE 25, SAVANNAH, GA 31416-2849
(912) 350-6580
(912) 350-6575
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00879513A
—
GA
01
—
930950
BLUE CROSS OF GA
—
05
—
AB0054
—
SC
Enumeration date
01/11/2006
Last updated
08/22/2020
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