Blue Star Medical Transportation LLC

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

BLUE STAR MEDICAL TRANSPORTATION LLC

Practice address

10330 Cimmaron TRL
Dallas, TX 75243

Phone

(469) 443-2979

NPI assigned

Jul 28, 2015

Organization subpart

No

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

Authorized official

Name

Miss Milla KidaneNPI 1437729308

Title

Owner

Phone

(469) 443-2979

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Milla Kidane

  • Non-emergency Medical Transport (VAN)
  • Dallas, TX
  • NPI 1437729308

  Secured Medical Transport (Van)

  NPD Authorized official

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1306221635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 CIMMARON TRL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752432520",
            "telephone_number": "469-443-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 CIMMARON TRL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75243",
            "telephone_number": "469-443-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE STAR MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "KIDANE",
        "authorized_official_first_name": "MILLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-443-2979",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Secured Medical Transport (VAN) in Dallas, TX
• Providers in Dallas, TX by specialty
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.