Provider Demographics
NPI:1689624272
Name:JMNB STARPLUS EMS LTD
Entity Type:Organization
Organization Name:JMNB STARPLUS EMS LTD
Other - Org Name:STARPLUS EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRITTON
Authorized Official - Middle Name:KELLY
Authorized Official - Last Name:WALDRON
Authorized Official - Suffix:
Authorized Official - Credentials:LP
Authorized Official - Phone:469-452-7101
Mailing Address - Street 1:PO BOX 2552
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-8172
Mailing Address - Country:US
Mailing Address - Phone:469-452-7101
Mailing Address - Fax:469-519-0109
Practice Address - Street 1:330 INDUSTRIAL BLVD
Practice Address - Street 2:101
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-7305
Practice Address - Country:US
Practice Address - Phone:469-452-7101
Practice Address - Fax:469-519-0109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX800026341600000X, 3416L0300X, 343800000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB759OtherBCBS PROVIDER NUMBER
TX173391701Medicaid
TXAMB759OtherBCBS PROVIDER NUMBER
TX173391701Medicaid