Provider Demographics
NPI:1760620629
Name:AMSTAR EMERGENCY MEDICAL SERVICES
Entity Type:Organization
Organization Name:AMSTAR EMERGENCY MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HORNE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, EMT-P
Authorized Official - Phone:334-295-4450
Mailing Address - Street 1:PO BOX 480547
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:AL
Mailing Address - Zip Code:36748-0547
Mailing Address - Country:US
Mailing Address - Phone:334-295-4450
Mailing Address - Fax:
Practice Address - Street 1:1401 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:AL
Practice Address - Zip Code:36748-3441
Practice Address - Country:US
Practice Address - Phone:334-295-4450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-30
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance