All Star Ambulance Service, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

10136 Issued in TN

Legal business name

ALL STAR AMBULANCE SERVICE, INC

Doing business as

All Star Ambulance

Practice address

6099 Mount Moriah Road Ext
Suite 21
Memphis, TN 38115-0313

Phone

(901) 746-8966

Fax

(901) 746-8989

NPI assigned

Mar 8, 2011

Last updated

Mar 8, 2011By 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

Ms. Charisse Marie Brown

Title

President

Phone

(832) 289-3732

Specialties & licenses 1

Addresses

Other names 1

• All Star Ambulance Doing business as

Locations

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1245538610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6099 MOUNT MORIAH ROAD EXT",
            "address_2": "SUITE 21",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381150313",
            "telephone_number": "901-746-8966",
            "fax_number": "901-746-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6099 MOUNT MORIAH ROAD EXT",
            "address_2": "SUITE 21",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381150313",
            "telephone_number": "901-746-8966",
            "fax_number": "901-746-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL STAR AMBULANCE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CHARISSE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-289-3732",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": "10136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Star Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Memphis, TN
• Providers in Memphis, TN by specialty
• Land Ambulance in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.