MEDICARE: ZSTAR LLC

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1952925943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZSTAR LLC

Provider Business Mailing Address
First Line	:	2640 SUNSET PL
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-0843
Country	:	US
Telephone Number	:	520-260-6818
Fax Number	:

Provider Business Practice Location Address
First Line	:	2640 SUNSET PL
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-0843
Country	:	US
Telephone Number	:	520-260-6818
Fax Number	:

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	LYNN GUNWALL
Credential	:
Telephone Number	:	202-606-8185

Provider Enumeration Date	:	06/04/2020
Last Update Date	:	05/03/2021

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Directions to “ZSTAR LLC ” Practice Location

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