All-Star Transportation

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

ALL-STAR TRANSPORTATION

Doing business as

All-Star Transportation

Practice address

9422 N 85TH E
Idaho Falls, ID 83401-5565

Phone

(208) 557-4080

NPI assigned

Jul 1, 2016

Last updated

Jul 1, 2016By 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

Mr. Mauna Rae H Carlson

Title

Owner

Phone

(208) 521-2955

Specialties & licenses 1

Addresses

Other names 1

• All-Star Transportation Doing business as

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1093167058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9422 N 85TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015565",
            "telephone_number": "208-557-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9422 N 85TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015565",
            "telephone_number": "208-557-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL-STAR TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "MAUNA RAE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-521-2955",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All-Star Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Non-emergency Medical Transport (VAN) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.