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

Organization subpart

No

Name

Mr. Colt M Black, EMT

Title

President/Chief

Phone

(717) 280-6470

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 19, 2024.

{
    "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
• Daniel Case

• All providers in Lewisberry, PA
• 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.