Bright Star Ambulance, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

8086 Issued in IL

Legal business name

BRIGHT STAR AMBULANCE, INC.

Practice address

1559 Route 34
Oswego, IL 60543-8524

Phone

(331) 454-7726

Fax

(331) 454-7725

NPI assigned

Feb 29, 2012

Last updated

Mar 2, 2012By 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

Sam Hejja

Title

Owner

Phone

(815) 919-0040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1235403841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559 ROUTE 34",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 ROUTE 34",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438524",
            "telephone_number": "331-454-7726",
            "fax_number": "331-454-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT STAR AMBULANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "HEJJA",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-919-0040"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "8086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Botta, A.P.N.
• Melanie Daniela Bourgoine, LSW
• Lindsay Brady
• Elizabeth Lassandrello Bremner
• Valerie Bremner, RN
• Brighter Days Counseling, PLLC (Brighter Days Counseling)
• Brighter Days Counseling, PLLC (Brighter Days Counseling)
• Lisa Renee Brooker, LCSW
• Aaron Brossett, ATC/L
• Shay Brown

• Ambulance in Oswego, IL
• Providers in Oswego, IL by specialty
• Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.