Organization Active NPI

Western Star Hospital Authority Inc

  • Land Ambulance
  • Monroeville, PA
National Provider Identifier
1194255018
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
17003 Issued in PA
Legal business name
WESTERN STAR HOSPITAL AUTHORITY INC
Practice address
204 Kenmar Dr Ste 4
Monroeville, PA 15146-1705
Phone
(844) 992-4500
NPI assigned
Jun 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Authorized official

Name
Rico A McGruder
Title
Ceo/President
Phone
(404) 937-6660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 17003 PA Primary

Addresses

Primary practice location

204 Kenmar Dr Ste 4
Monroeville, PA 15146-1705

Mailing address

154 Selig Dr SW Ste B
Atlanta, GA 30336-2038
Phone (404) 919-2544

Other practice location 1

6001 Lakeside Ave Ste 25
Richmond, VA 23228-5748
Phone (844) 992-4500

Other practice location 2

9148 Louisiana St Unit G
Merrillville, IN 46410-7251
Phone (844) 992-4500

Other names 1

  • Metro Health EMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250714003400 IN Part B Supplier - Ambulance Service Supplier 8820355738 Practice locations: Merrillville, IN

National Provider Directory

National Provider Directory

Locations

5580 Tulane Dr SW
Ste A
Atlanta, GA 30336

154 Selig Dr SW
Ste B
Atlanta, GA 30336

1341 Cleveland Ave
East Point, GA 30344
Phone (770) 899-6462

1145 Hightower Trl
Ste 200
Sandy Springs, GA 30350

3714 N Vermilion St
Unit 12
Danville, IL 61832
Phone (844) 992-4500

9148 Louisiana St
Unit G
Merrillville, IN 46410
Phone (404) 937-6660

4710 Auth Pl
Ste 650
Camp Springs, MD 20746
Phone (844) 992-4500

19003 Saint Clair Ave
Cleveland, OH 44117
Phone (404) 937-6660

204 Kenmar Dr
Ste 4
Monroeville, PA 15146
Phone (844) 992-4500

6001 Lakeside Ave
Ste 12
Richmond, VA 23228
Phone (844) 937-6660

6001 Lakeside Ave
Ste 24
Richmond, VA 23228
Phone (844) 937-6660

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1194255018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 SELIG DR SW STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303362038",
            "telephone_number": "404-919-2544",
            "fax_number": "404-201-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 KENMAR DR STE 4",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151461705",
            "telephone_number": "844-992-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001 Lakeside Ave Ste 25",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232285748",
            "country_code": "US",
            "telephone_number": "844-992-4500",
            "fax_number": "888-721-1522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9148 Louisiana St Unit G",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464107251",
            "country_code": "US",
            "telephone_number": "844-992-4500",
            "fax_number": "888-721-1522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WESTERN STAR HOSPITAL AUTHORITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "MCGRUDER",
        "authorized_official_first_name": "RICO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "404-937-6660"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "17003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Health EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.