CANYON STATE AMBULANCE
NPI 1699752998
Ambulance in Payson, AZ

Active since December 28, 2005
1014 S WESTERLY, PAYSON, AZ 85541(928) 474-2831(928) 474-6188 Get Directions Write a Review

NPPES record last updated: November 3, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Canyon State Ambulance NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANYON STATE AMBULANCE (NPI 1699752998) is a healthcare organization registered as an ambulance in Payson, Arizona and active in the NPI registry since December 2005. The organization lists Ralph J Vassallo, Vice President Of Billing Services, as its authorized official.

NPPES Registry Identity

NPI1699752998
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameLIFESTAR LLC
Location Address1014 S WESTERLYPayson, AZ 85541
Mailing AddressPo Box 63068Phoenix, AZ 85082-3068 · (602) 437-1431 · Fax (602) 437-8436
Fax(928) 474-6188
Organization SubpartNo
Authorized OfficialRalph J VassalloVice President Of Billing Services · (602) 437-6620
Enumeration DateDecember 28, 2005
Last NPPES UpdateNovember 3, 2009
NPI 1699752998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License Licensed in AZ · 58
Definition

An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

1014 S WESTERLY, Payson, AZ 85541

Other Names 1

Doing Business AsCanyon State Ambulance

Other Identifiers 5

Medicare UPINX65940
Other590015162AZ · Rr Medicare
OtherAZ0152310AZ · Bcbs
Medicaid620949AZ
Medicare ID-Type UnspecifiedZ67784AZ

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifestar LLC's NPI number?

The NPI number for Lifestar LLC is 1699752998. It was assigned to this organization in the NPPES registry on December 28, 2005. The provider is doing business as Canyon State Ambulance.

Where is Lifestar LLC located?

Lifestar LLC is located at 1014 S Westerly, Payson, AZ 85541. The listed phone number is (928) 474-2831.

What is Lifestar LLC's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

When was this NPI record last updated?

The NPPES record for Lifestar LLC was last updated on November 3, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.