NPI 1548334246 · live from the CMS NPI Registry
Med Star Paramedic INC
Ambulance, Land Transport in Brandon, SD. National Provider Identifier 1548334246, active.
NPI record
| NPI | 1548334246 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Land Transport 3416L0300X |
| Practice location | 922 E Redwood Blvd, Brandon, SD 57005 |
| Practice phone | 605-582-6096 |
| Mailing address | Po Box 512, 922 E Redwood Blvd, Brandon, SD 57005 |
| Enumerated | November 17, 2006 |
| Last updated | June 15, 2011 |
| Authorized official | Judith Zimmerman, Business Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | — |
| Emergency Medical Technician, Paramedic | 146L00000X | 0015 (SD) |
| Ambulance, Land Transport primary | 3416L0300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.