Active NPI
Amstar Emergency Medical Services
- Ambulance
- Linden, AL
National Provider Identifier
1760620629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- AMSTAR EMERGENCY MEDICAL SERVICES
- Practice address
- 1401 N Main St
Linden, AL 36748-3441 - Phone
- (334) 295-4450
- NPI assigned
- Jan 30, 2009
- 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. Kevin Michael Horne, RN, EMT-P
- Title
- President
- Phone
- (334) 295-4450
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
1401 N Main St
Linden, AL 36748-3441
Mailing address
PO Box 480547
Linden, AL 36748-0547
Phone (334) 295-4450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090527000014 | AL | Part B Supplier - Ambulance Service Supplier | 7911056833 | Practice locations: Demopolis, AL; Dixons Mills, AL; Linden, AL |
National Provider Directory
National Provider DirectoryLocations
1704 Highway 43 S
Demopolis, AL 36732
Phone (334) 289-4445
1307 US Highway 80 W
Demopolis, AL 36732
Phone (334) 289-7055
1836 College Ave
Jackson, AL 36545
Phone (251) 246-7580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377475200000",
"number": "1760620629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 480547",
"city": "LINDEN",
"state": "AL",
"postal_code": "367480547",
"telephone_number": "334-295-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 N MAIN ST",
"city": "LINDEN",
"state": "AL",
"postal_code": "367483441",
"telephone_number": "334-295-4450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMSTAR EMERGENCY MEDICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-30",
"last_updated": "2013-08-26",
"status": "A",
"authorized_official_last_name": "HORNE",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "334-295-4450",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN, EMT-P"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Linden, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.