MEDICARE: MEDSTAR SOLUTIONS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	225	AR
2	341600000X	Ambulance	301	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538370168
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDSTAR SOLUTIONS, INC

Provider Business Mailing Address
First Line	:	PO BOX 339
Second Line	:
City	:	JACKSONVILLE
State	:	AR
Zip	:	72078-0339
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2003 OLD MILITARY RD
Second Line	:
City	:	JACKSONVILLE
State	:	AR
Zip	:	72076-8734
Country	:	US
Telephone Number	:	501-982-5912
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROGER HOSMAN
Credential	:
Telephone Number	:	501-982-5912

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	06/26/2008

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Directions to “MEDSTAR SOLUTIONS, INC ” Practice Location

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