MED STAR PARAMEDIC INC (NPI# 1548334246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548334246 |
| Entity Type | Organization |
| Organization Name | MED STAR PARAMEDIC INC |
| Practice Address |
922 E Redwood Blvd Brandon SD 57005 |
| Mailing Address |
Po Box 512 922 E Redwood Blvd Brandon SD 57005 |
| Practice Telephone | 6055826096 |
| Practice Fax Number | 6055828983 |
| Mailing Telephone | 6055826096 |
| Mailing Fax Number | 6055828983 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2011-06-15 |
| Authorized Official Name | JUDITH C ZIMMERMAN (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 6055826096 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 146L00000X | Emergency Medical Technician, Paramedic | 0015 | SD | Emergency Medical Service Providers |
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 9011110 | 05 |
| Street Address |
922 E REDWOOD BLVD |
| City | BRANDON |
| State | SD |
| Zip Code | 57005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720528110 | Med-star Transit LLC | Non-emergency Medical Transport (VAN) | 922 E Redwood Blvd, Brandon, SD 57005-2563 | 2017-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144794926 | Sarah Hewitt | Counselor | 316 E Holly Blvd, Brandon, SD 57005 | 2019-01-15 |
| 1790175388 | Cody Lee Kruckenberg | Chiropractor | 312 E Holly Blvd, Brandon, SD 57005 | 2015-02-03 |
| 1356577159 | Matthew Krivarchka | Dentist | 1511 W. Holly Boulevard, Brandon, SD 57005 | 2009-06-08 |
| 1851546253 | Karla Karrin Jorgenson | Occupational Therapist | 103 North Splitrock Blvd, Brandon, SD 57005 | 2008-11-26 |
| 1598954364 | David Fitzgerald Ward Dc | Chiropractor | 1302 E Rushmore, Brandon, SD 57005 | 2007-10-17 |
| 1477675437 | Kara Lynn Baas | Counselor | 1320 E Rushmore Drive, Suite 107, Brandon, SD 57005 | 2007-04-03 |
| 1124161773 | Michael R Juba | Dentist | 704 N Splitrock Blvd, Brandon, SD 57005 | 2007-02-14 |
| 1386723468 | Prairie Rehabilitation Services, Inc. | Durable Medical Equipment & Medical Supplies | 1220 E. Holly Blvd, Brandon, SD 57005 | 2006-11-02 |
| 1396780698 | Barbara Harvison | Physician Assistant | 1101 E Holly Blvd, Brandon, SD 57005 | 2006-06-19 |
| 1326121807 | David Fitzgerald Ward | Chiropractor | 1302 E Rushmore Dr, Brandon, SD 57005-0408 | 2006-10-20 |
| Find all providers in zip 57005 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 1124385539 | Highmore Volunteer Fire Dept Inc | Ambulance | 200 Commercial Avenue Se, Highmore, SD 57345-0340 | 2012-04-23 |
| 1497071708 | Isabel-dewey County Ambulance Service | Ambulance | 124 N. Main St, Isabel, SD 57633 | 2010-04-12 |
| 1619201142 | Carthage Ambulance Service | Ambulance | 110 Main St W, Carthage, SD 57323-2100 | 2009-09-30 |
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| 1689817306 | Rural Meade Ambulance Service | Ambulance | 17506 Hwy 34, Enning, SD 57737-0054 | 2009-04-10 |
| 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.