Active NPI
Med Star Emergency Medical Services and Transport Inc
- Ambulance
- Warren, OH
National Provider Identifier
1154328565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 780042
- Legal business name
- MED STAR EMERGENCY MEDICAL SERVICES AND TRANSPORT INC
- Practice address
- 1600 Youngstown Rd SE
Warren, OH 44484-4251 - Phone
- (330) 369-8084
- Fax
- (330) 369-8026
- NPI assigned
- Jun 30, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph W. Robinson
- Title
- Pres. / Owner
- Phone
- (330) 369-8084
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 780042 | OH | Primary |
Addresses
Primary practice location
1600 Youngstown Rd SE
Warren, OH 44484-4251
Mailing address
PO Box 2156
Warren, OH 44484-0156
Phone (330) 369-8084
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0542514 | Medicaid | OH | |
| 000000155568 | Other | OH | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050214000068 | OH | Part B Supplier - Ambulance Service Supplier | 6608828116 | Practice locations: Warren, OH |
National Provider Directory
National Provider DirectoryLocations
224 Southern Blvd NW
Warren, OH 44485
Phone (330) 369-8084
1600 Youngstown Rd SE
Warren, OH 44484
Phone (330) 369-8084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364256000000",
"number": "1154328565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2156",
"city": "WARREN",
"state": "OH",
"postal_code": "444840156",
"telephone_number": "330-369-8084",
"fax_number": "330-369-8026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 YOUNGSTOWN RD SE",
"city": "WARREN",
"state": "OH",
"postal_code": "444844251",
"telephone_number": "330-369-8084",
"fax_number": "330-369-8026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED STAR EMERGENCY MEDICAL SERVICES AND TRANSPORT INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-30",
"last_updated": "2013-03-26",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "PRES. / OWNER",
"authorized_official_telephone_number": "330-369-8084",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "OH",
"license": "780042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0542514",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000155568",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.