Provider Demographics
NPI:1093001166
Name:NORTH STAR AMBULANCE SERVICE LLC
Entity Type:Organization
Organization Name:NORTH STAR AMBULANCE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMIRO
Authorized Official - Middle Name:F
Authorized Official - Last Name:PINA
Authorized Official - Suffix:JR
Authorized Official - Credentials:EMT B
Authorized Official - Phone:830-422-2098
Mailing Address - Street 1:PO BOX 421752
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78842-1752
Mailing Address - Country:US
Mailing Address - Phone:830-422-2098
Mailing Address - Fax:830-422-2883
Practice Address - Street 1:612 N BEDELL AVE
Practice Address - Street 2:SUITE G.
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-4173
Practice Address - Country:US
Practice Address - Phone:830-422-2098
Practice Address - Fax:830-422-2883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-27
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX 10000586341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance