MEDICARE: STARLINE INVESTMENTS 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	3416L0300X	Land Ambulance

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	:	1376051979
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STARLINE INVESTMENTS INC

Provider Business Mailing Address
First Line	:	4145 S GENSEN LOOP
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45245-7009
Country	:	US
Telephone Number	:	937-205-6926
Fax Number	:

Provider Business Practice Location Address
First Line	:	3226 OMNI DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45245
Country	:	US
Telephone Number	:	833-348-4631
Fax Number	:	833-348-4631

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	JEREMY R STARLINE
Credential	:
Telephone Number	:	833-348-4631

Provider Enumeration Date	:	01/17/2018
Last Update Date	:	06/29/2018

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