Organization
UT LIFESTAR, LLC
Active
Other names
UT LIFESTAR 1
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HINTON (VP OF FINANCE)
(417) 256-0010
Entity
Organization
Contact information
Practice address
615 N HIGH ST, MORRISTOWN, TN 37814-3871
(423) 318-6746
Mailing address
PO BOX 708, WEST PLAINS, MO 65775-0708
(417) 257-2104
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
EMS0000010038
TN
Other
Enumeration date
05/03/2007
Last updated
03/31/2011
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