Organization Active NPI

Northstar EMS Inc.

  • Ambulance
  • Searcy, AR
National Provider Identifier
1427017532
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
274 Issued in AR
Legal business name
NORTHSTAR EMS INC.
Practice address
1701 E Beebe Capps Expy
Searcy, AR 72143-6897
Phone
(501) 268-2327
Fax
(501) 268-7026
NPI assigned
Mar 20, 2006
Last updated
May 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Mr. Donald R Shull
Title
President/Owner
Phone
(501) 268-2353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 274 AR Primary

Addresses

Primary practice location

1701 E Beebe Capps Expy
Searcy, AR 72143-6897

Mailing address

1701 E Beebe Capps Expy
Searcy, AR 72143-6897
Phone (501) 268-2327

Other identifiers 1

IdentifierTypeStateIssuer
141323715MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100310000368 AR Part B Supplier - Ambulance Service Supplier 8729123104 Practice locations: Searcy, AR

National Provider Directory

National Provider Directory

Locations

1115 Benton St
Searcy, AR 72143
Phone (501) 268-2353

1701 E Beebe Capps Expy
Searcy, AR 72143
Phone (501) 268-2327

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1427017532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E BEEBE CAPPS EXPY",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436897",
            "telephone_number": "501-268-2327",
            "fax_number": "501-268-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E BEEBE CAPPS EXPY",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436897",
            "telephone_number": "501-268-2327",
            "fax_number": "501-268-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR EMS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "SHULL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "501-268-2353",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AR",
            "license": "274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141323715",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.