MEDSTAR AMBULANCE INC (NPI# 1235397282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235397282 |
| Entity Type | Organization |
| Organization Name | MEDSTAR AMBULANCE INC |
| Practice Address |
705 Bradbury Ln Sparta IL 62286-2102 |
| Mailing Address |
Po Box 296 Sparta IL 62286-0296 |
| Practice Telephone | 6184435061 |
| Practice Fax Number | 6184433897 |
| Mailing Telephone | 6184435061 |
| Mailing Fax Number | 6184433897 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |
| Authorized Official Name | MRS. DEBORAH D KELLEY (HUMAN RESOURCE MANAGER) |
| Authorized Official Telephone | 6184435061 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
4837 | IL | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821089202 | Medstar Ambulance Inc | Ambulance | 1000 Battles St, Leominster, MA 01453-1502 | 2005-11-03 |
| 1013900364 | Medstar Ambulance Inc | Ambulance | 705 Bradbury Ln, Sparta, IL 62286-2102 | 2005-08-23 |
| Street Address |
705 BRADBURY LN |
| City | SPARTA |
| State | IL |
| Zip Code | 62286-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013900364 | Medstar Ambulance Inc | Ambulance | 705 Bradbury Ln, Sparta, IL 62286-2102 | 2005-08-23 |
| 1639533391 | Matthew Gerdes | Emergency Medical Technician, Paramedic | 705 Bradbury Ln, Sparta, IL 62286-2102 | 2016-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467841502 | Rikki Schaefer | Physician Assistant | 205 South Burns Ave, Sparta, IL 62286 | 2015-01-13 |
| 1922242130 | Sparta Community Hospital | Clinic/Center | 211 South Burns Avenue, Sparta, IL 62286 | 2009-05-01 |
| 1245452739 | Human Service Center of Southern Metro East | Clinic/Center | 104 Northtown Drive, Sparta, IL 62286 | 2007-05-03 |
| 1356479497 | Randal W Mcbride | Dentist | 1701 N Market St, Suite 2, Sparta, IL 62286 | 2007-03-01 |
| 1043398050 | Chris M Murry | Chiropractor | 401 West Broadway, Sparta, IL 62286 | 2006-11-01 |
| 1679657548 | Frantz Antoine Charles | Surgery | 818 East Broadway, Sparta Community Hospital, Sparta, IL 62286 | 2006-10-25 |
| 1750497194 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 207 South Burns Ave, Family Health Centre, Sparta, IL 62286 | 2006-08-21 |
| 1740395045 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 1300 North Campus, Sparta Community Hospital, North Campus, Sparta, IL 62286 | 2006-08-20 |
| 1326153552 | Sparta Communty Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 211 South Burns Ave, Quality Healthcare Surgery, Sparta, IL 62286 | 2006-08-20 |
| 1740395003 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 215 South Burns Avenue, Sparta, IL 62286 | 2006-08-20 |
| Find all providers in zip 62286 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871544171 | Sparta Area Ambulance Service Ltd | Ambulance | 618 Stelting St, Sparta, WI 54656-2325 | 2006-05-12 |
| 1518948959 | County of White | Ambulance | 1 E Bockman Way, White Co. Courthouse Rm # 204, Sparta, TN 38583-2049 | 2005-11-11 |
| 1013900364 | Medstar Ambulance Inc | Ambulance | 705 Bradbury Ln, Sparta, IL 62286-2102 | 2005-08-23 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.