| Organization Name: | AMBU-STAR, INC. |
| NPI Number: | 1013127026 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WALTER PETTISS (SECRETARY - TREASURER) |
| Mailing Address: | 154 Webber Rd Gaffney |
| State: | SC US |
| Postal Code: | 293414037 |
| Phone Number: | 8644889906 |
| Fax Number: | 8779417812 |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 06/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 226 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |