Bluestar EMS Corp

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BLUESTAR EMS CORP

Practice address

1109 Pinetown Rd
Lewisberry, PA 17339-9719

Phone

(717) 280-6470

NPI assigned

Aug 19, 2024

Last updated

Aug 19, 2024By 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

Mr. Colt M Black, EMT

Title

President/Chief

Phone

(717) 280-6470

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1619709664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "LEWISBERRY",
            "state": "PA",
            "postal_code": "173390130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 PINETOWN RD",
            "city": "LEWISBERRY",
            "state": "PA",
            "postal_code": "173399719",
            "telephone_number": "717-280-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESTAR EMS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-18",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "COLT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/CHIEF",
        "authorized_official_telephone_number": "717-280-6470",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Barry-Lane, M,D,, PHD
• Rebecca Beers
• Elizabeth Anne Bergey, MD
• James Edward Blacksmith, D.O.
• Christopher Bloomer
• Lynn Boutin, MA, ATC
• Howard Joel Bronfman, MD
• Eric Burd, RPA, RRA, RT(R)
• Butler Dynamics LLC (Butler Mobility Products)
• Daniel Case

• Land Ambulance in Lewisberry, PA
• Providers in Lewisberry, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.