Organization Active NPI

Medstar Emergency Medical Service, LLC

  • Land Ambulance
  • Foley, AL
National Provider Identifier
1023092004
Registry record updated Aug 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
818 Issued in AL
Legal business name
MEDSTAR EMERGENCY MEDICAL SERVICE, LLC
Practice address
111 W Camphor Ave
Foley, AL 36535-3519
Phone
(251) 943-8388
Fax
(251) 970-2092
NPI assigned
Dec 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2007

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

Authorized official

Name
Mr. Johnnie W Sundie
Title
Manager
Phone
(251) 943-8388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 818 AL Primary

Addresses

Primary practice location

111 W Camphor Ave
Foley, AL 36535-3519

Mailing address

PO Box 700
Foley, AL 36536-0700
Phone (251) 943-8388

National Provider Directory

National Provider Directory

Locations

111 W Camphor Ave
Foley, AL 36535
Phone (251) 943-8388

420 N McKenzie St
Foley, AL 36535
Phone (251) 943-8388

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186012800000",
    "number": "1023092004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365360700",
            "telephone_number": "251-943-8388",
            "fax_number": "251-970-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W CAMPHOR AVE",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365353519",
            "telephone_number": "251-943-8388",
            "fax_number": "251-970-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR EMERGENCY MEDICAL SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2007-08-02",
        "status": "A",
        "authorized_official_last_name": "SUNDIE",
        "authorized_official_first_name": "JOHNNIE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "251-943-8388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.