STAR CARE EMS CORP NPI 1740790054

NPI Information

NPI: 1740790054
Provider Name: STAR CARE EMS CORP
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 11D2287175

Address:
6500 MCDONOUGH DR STE C12
NORCROSS, GA
ZIP 30093
Phone: (480) 246-6997
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STAR CARE EMS CORP is a land transport ambulance in Norcross, GA. STAR CARE EMS CORP NPI is 1740790054. The provider is registered as an organization entity type.

The provider's business location address is:

6500 MCDONOUGH DR STE C12
NORCROSS, GA
ZIP 30093-217
Phone: (480) 246-6997

The provider's authorized official is Mahad A Alasow .
The authorized official title is Ceo and has the following contact phone number (480) 246-6997.

The CLIA number assigned to this NPI record is 11D2287175 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2017 and was last updated on 12/4/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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