MED STAR PARAMEDIC INC; NPI #1548334246

Contact Information

MED STAR PARAMEDIC INC

922 E REDWOOD BLVD
BRANDON, SD 57005

Phone: 605-582-6096
Fax: 605-582-8983
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Land Transport	3416L0300X	59	Ambulance Service Provider
Emergency Medical Technician, Paramedic	146L00000X
Non-emergency Medical Transport (VAN)	343900000X

Indicates primary specialty

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NPI Profile & details for MED STAR PARAMEDIC INC

NPI Number 1548334246

LBN Legal business name MED STAR PARAMEDIC INC

Authorized official JUDITH ZIMMERMAN - (BUSINESS OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/17/2006

Last updated 06/15/2011 - About 15 years ago

Identifiers

SD	License #	0015
SD	Medicaid	9011110

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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