| Organization Name: | MEDSTAR EMERGENCY MEDICAL SERVICE, LLC |
| NPI Number: | 1023092004 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHNNIE W SUNDIE (MANAGER) |
| Mailing Address: | 111 W Camphor Ave Foley |
| State: | AL US |
| Postal Code: | 365353519 |
| Phone Number: | 2519438388 |
| Fax Number: | 2519702092 |
| NPI Enumeration Date: | 12/02/2005 |
| NPI Last Update Date: | 08/02/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 818 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |