Organization Active NPI

North Star Medical Transport Inc

  • Non-emergency Medical Transport (VAN)
  • Racine, WI
National Provider Identifier
1568700359
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
NORTH STAR MEDICAL TRANSPORT INC
Practice address
3111 Wheelock Dr
Unit 3
Racine, WI 53405-4553
Phone
(847) 932-9223
NPI assigned
Jan 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Mr. Bruce Edmund Slabosz
Title
Ceo
Phone
(847) 932-9223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

3111 Wheelock Dr
Unit 3
Racine, WI 53405-4553

Mailing address

3111 Wheelock Dr
Unit 3
Racine, WI 53405-4553
Phone (847) 932-9223

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1568700359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 WHEELOCK DR",
            "address_2": "UNIT 3",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534054553",
            "telephone_number": "847-932-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 WHEELOCK DR",
            "address_2": "UNIT 3",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534054553",
            "telephone_number": "847-932-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR MEDICAL TRANSPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "SLABOSZ",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "EDMUND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-932-9223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.