Provider Demographics
NPI:1205084993
Name:MEDSTAR SOLUTIONS LLC
Entity type:Organization
Organization Name:MEDSTAR SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:HOSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-982-5912
Mailing Address - Street 1:PO BOX 339
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72078-0339
Mailing Address - Country:US
Mailing Address - Phone:501-982-5912
Mailing Address - Fax:501-985-9912
Practice Address - Street 1:2003 OLD MILITARY RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72076-8734
Practice Address - Country:US
Practice Address - Phone:501-982-5912
Practice Address - Fax:501-985-9912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-05
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2203416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport