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LIFESTAR AMBULANCE SERVICE, INC.
NPI 1780639823
Ambulance in Jacksonville, IL

Active since May 24, 2006
528 S WEST ST, JACKSONVILLE, IL 62650(217) 245-7540(217) 243-4805 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 17, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Lifestar Ambulance Service, Inc. NPPES

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

LIFESTAR AMBULANCE SERVICE, INC. (NPI 1780639823) is a healthcare organization registered as an ambulance in Jacksonville, Illinois and active in the NPI registry since May 2006. The organization lists Roger D. Campbell, President, as its authorized official.

NPPES Registry Identity

NPI1780639823
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameLIFESTAR AMBULANCE SERVICE, INC.
Location Address528 S WEST STJacksonville, IL 62650-2873
Mailing Address940 N Elm St, Po Box 1838Centralia, IL 62801-2326 · (618) 532-2474 · Fax (618) 532-7795
Phone(217) 245-7540
Fax(217) 243-4805
Organization SubpartNo
Authorized OfficialRoger D. CampbellPresident · (618) 532-2474
Enumeration DateMay 24, 2006
Last NPPES UpdateJuly 17, 20232 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
✔ NPI 1780639823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in IL · 3633
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).
Also ListedAmbulance · Land TransportTaxonomy 3416L0300X
528 S WEST ST, Jacksonville, IL 62650
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0889786

Lifestar Ambulance Service Inc · Jacksonville, IL
Expired · Aug 3, 2026
CLIA Number14D0889786
Laboratory TypeMobile Laboratory
Certificate Effective DateAugust 4, 2024
Certificate Expiration DateAugust 3, 2026
Laboratory DirectorRoger D. Campbell
Laboratory Phone(618) 245-7540
Laboratory LocationLifestar Ambulance Service Inc528 S West Street, Jacksonville, IL 62650
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
4,058 services636 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
1,090 services612 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
63 services60 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
23 services23 patients

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 Ambulance Service, Inc.'s NPI number?

The NPI number for Lifestar Ambulance Service, Inc. is 1780639823. It was assigned to this organization in the NPPES registry on May 24, 2006.

Where is Lifestar Ambulance Service, Inc. located?

Lifestar Ambulance Service, Inc. is located at 528 S West St, Jacksonville, IL 62650. The listed phone number is (217) 245-7540.

What is Lifestar Ambulance Service, Inc.'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 Ambulance Service, Inc. was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.