Provider Demographics
NPI:1326539370
Name:BLUE STAR NON EMERGENCY TRANSPORTATION
Entity Type:Organization
Organization Name:BLUE STAR NON EMERGENCY TRANSPORTATION
Other - Org Name:BLUE STAR NON EMERGENCY TRANSPORTATION
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:DRUMMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-833-4094
Mailing Address - Street 1:PO BOX 58624
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77258-8624
Mailing Address - Country:US
Mailing Address - Phone:210-833-4094
Mailing Address - Fax:
Practice Address - Street 1:2865 FM 1150
Practice Address - Street 2:
Practice Address - City:KINGSBURY
Practice Address - State:TX
Practice Address - Zip Code:78638-3338
Practice Address - Country:US
Practice Address - Phone:210-833-4094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-25
Last Update Date:2018-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)