Organization · Type 2 NPI
Ut Lifestar, LLC
Air Ambulance · Andersonville, TN
NPI number
1033307871
Active
Practice location
131 First Quality Drive
Andersonville, TN 37705-4132
Mailing address
PO Box 708
West Plains, MO 65775-0708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Air Ambulance Primary | 3416A0800X | EMS0000010038 (TN) |
Air Ambulance: Definition to come...
About NPI 1033307871
Ut Lifestar, LLC's National Provider Identifier is 1033307871, issued on Oct 5, 2007. The primary taxonomy on file is Air Ambulance (3416A0800X), and the practice location is in Andersonville, TN. The record was last updated on Mar 31, 2011.