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General NPI Number Information
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NPI Number | 1265406854
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Entity Type | Organization
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Legal Business Name | NORTHSTAR EMS, INC.
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 04/24/2023
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Provider Practice Location Address
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Address Line | 6285 PARK SOUTH DR STE 200
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City | BESSEMER
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State | AL
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Zip | 35022-5670
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Country | US
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Telephone | 205-424-1909
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2788
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City | TUSCALOOSA
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State | AL
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Zip | 35403-2788
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Country | US
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Telephone | 205-752-5866
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Fax | 205-345-7911
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Authorized Official
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Title or Position | CEO
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Name | MR. JON ANTHONY SMELLEY
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Credential |
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Telephone | 205-247-4748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 545
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License Number State | AL
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