MEDSTAR AMBULANCE INC NPI 1235397282

NPI Information

  • NPI: 1235397282
  • Provider Name: MEDSTAR AMBULANCE INC
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • Address: 705 BRADBURY LN
    SPARTA, IL
    ZIP 62286
  • Phone: (618) 443-5061

Map and Directions

Get Directions

NPI Details

MEDSTAR AMBULANCE INC is a land transport ambulance in Sparta, IL. MEDSTAR AMBULANCE INC NPI is 1235397282. The provider is registered as an organization entity type.

The provider's business location address is:

705 BRADBURY LN
SPARTA, IL
ZIP 62286-102
Phone: (618) 443-5061
Fax: (618) 443-3897

The provider's authorized official is Deborah D Kelley .
The authorized official title is Human Resource Manager and has the following contact phone number (618) 443-5061.

The enumeration date for this NPI number is 5/27/2008 and was last updated on 5/27/2008.

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
13416L0300XAmbulanceLand Transport4837ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========001MEDICAIDILLINOIS

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI