Medstar Ambulance Inc
Organization Active NPI Land Ambulance · Sparta, IL
NPI 1235397282 · NPPES record last updated May 27, 2008
Key facts
- NPI
- 1235397282
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 4837 (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
- May 27, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Deborah D Kelley
- Title
- Human Resource Manager
- Phone
- (618) 443-5061
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 4837 | IL | Yes |
Addresses
Primary practice location
705 Bradbury LN
Sparta, IL 62286-2102
Mailing address
PO Box 296
Sparta, IL 62286-0296
Phone (618) 443-5061
Other providers in Sparta, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.