Organization Active NPI

Amstar Emergency Medical Services

  • Ambulance
  • Linden, AL
National Provider Identifier
1760620629
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

Updated by the provider on Aug 26, 2013

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20090527000014 AL Part B Supplier - Ambulance Service Supplier 7911056833 Practice locations: Demopolis, AL; Dixons Mills, AL; Linden, AL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.