Medstar Ambulance Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

44837 Issued in IL

Legal business name

MEDSTAR AMBULANCE INC

Practice address

705 Bradbury LN
Sparta, IL 62286-2102

Phone

(618) 443-5061

Fax

(618) 443-3897

NPI assigned

Aug 23, 2005

Last updated

May 8, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deborah D Kelley

Title

Humanresources Manager

Phone

(618) 443-5061

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Gerdes

  • Paramedic
  • Sparta, IL
  • NPI 1639533391
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1013900364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 296",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622860296",
            "telephone_number": "618-443-5061",
            "fax_number": "618-443-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BRADBURY LN",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622862102",
            "telephone_number": "618-443-5061",
            "fax_number": "618-443-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "HUMANRESOURCES MANAGER",
        "authorized_official_telephone_number": "618-443-5061"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "44837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Malawy
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• Marion Eye Centers LTD.
• Randal W McBride, DMD
• Medstar Ambulance Inc
• Mark A Meyerhoff, D.C.
• Midwest Emergency Sparta, Inc
• Monroe Randolph Transit District
• Robert Karl Morovitz, DC

• Land Ambulance in Sparta, IL
• Providers in Sparta, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.