MEDSTAR AMBULANCE SERVICE, INC. (NPI# 1366440638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366440638 |
| Entity Type | Organization |
| Organization Name | MEDSTAR AMBULANCE SERVICE, INC. |
| Practice Address |
23208 Main St Courtland VA 23837-1302 |
| Practice Telephone | 7576532873 |
| Practice Fax Number | 7576532453 |
| Mailing Telephone | 7576532873 |
| Mailing Fax Number | 7576532453 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PAMELA PHELPS MOORE (PRESIDENT-MANAGER) |
| Authorized Official Telephone | 7576532873 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
792 | VA | Transportation Services |
| Street Address |
23208 MAIN ST |
| City | COURTLAND |
| State | VA |
| Zip Code | 23837-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548777238 | Andrea Hall-leonard | Speech-Language Pathologist | Southampton County Public Schools 21290 Plank Road, Courtland, VA 23837 | 2018-01-04 |
| 1679564421 | Southampton County Board of Supervisors | Ambulance | 25436 Bridge St, Courtland, VA 23837-0000 | 2005-11-01 |
| 1053386979 | Commonwealth of Virginia State Board of Health | Clinic/Center | 26022 Administrative Center Drive, Courtland, VA 23837-0009 | 2006-02-22 |
| 1679049944 | Takeda Hinton | Contractor | 22086 Bateman St, Courtland, VA 23837-1005 | 2018-10-15 |
| 1467915991 | Believe In Me Mobile Phlebotomy Services, LLC | Clinic/Center | 22086 Bateman St, Courtland, VA 23837-1005 | 2019-04-11 |
| 1174938393 | Courtland Hearing Aids and Balance, LLC | Clinic/Center | 22730 Main St, Courtland, VA 23837-1127 | 2014-06-26 |
| 1235449497 | Stacy Ann Brinkley | Nurse Practitioner | 22708 Main St, Courtland, VA 23837-1127 | 2010-10-20 |
| 1194117747 | Mary Babb | Nurse Practitioner | 22708 Main St, Courtland, VA 23837-1127 | 2015-02-19 |
| 1821362856 | Tenecia Renee Brown-shearin | Case Manager/Care Coordinator | 22038 High St, Courtland, VA 23837-1131 | 2012-03-08 |
| 1003829359 | Medical Facilities of America Xliii | Skilled Nursing Facility | 23020 Main St, Courtland, VA 23837-1133 | 2006-08-15 |
| Find all providers in zip 23837 | ||||
| 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 |
|---|---|---|---|---|
| 1679564421 | Southampton County Board of Supervisors | Ambulance | 25436 Bridge St, Courtland, VA 23837-0000 | 2005-11-01 |
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|---|---|---|---|---|
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| 1477188563 | Town of Wytheville | Ambulance | 185 W Spring St, Wytheville, VA 24382-2649 | 2020-03-09 |
| 1205460839 | Medic Pro of Virginia | Ambulance | 1296 Carter Rd, Farmville, VA 23901-5887 | 2020-02-21 |
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| 1629609797 | Dignity With Care Transportation Services Inc | Ambulance | 104 N Plains Dr, Petersburg, VA 23805-9110 | 2020-01-28 |
| 1548802002 | Your Choice Medical Transport, LLC | Ambulance | 4011 Evelake Rd, North Chesterfield, VA 23237-2723 | 2019-10-16 |
| 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.