NPI 1033307871

Ut Lifestar, LLC

Organisation Air Ambulance Andersonville, TN

Practice location

Address: 131 First Quality Drive, Andersonville, TN 37705-4132
Phone: (865) 256-6284
Mailing address: PO Box 708, West Plains, MO 65775-0708

Authorised official

Name: David Hinton
Title: Vp of Finance
Phone: (417) 256-0010

Registered specialties

Air Ambulance Primary

Transportation Services Taxonomy 3416A0800X Licence EMS0000010038 (TN)

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Registry record

NPI: 1033307871
Entity type: Organization
NPI issued: 5 Oct 2007
Record last updated: 31 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.