Active NPI
Northstar EMS Inc.
- Ambulance
- Searcy, AR
National Provider Identifier
1427017532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 274
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141323715 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100310000368 | AR | Part B Supplier - Ambulance Service Supplier | 8729123104 | Practice locations: Searcy, AR |
National Provider Directory
National Provider DirectoryLocations
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.