# AMBU-STAR, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013127026
- **Authorized official:** MR. WALTER PETTISS (SECRETARY - TREASURER)
- **Authorized official phone:** (864) 488-9906

## Contact information

- **Practice address:** 154 WEBBER RD, GAFFNEY, SC 29341-4037
- **Practice address phone:** (864) 488-9906
- **Practice address fax:** (877) 941-7812
- **Mailing address:** PO BOX 370, COWPENS, SC 29330-0370
- **Mailing address phone:** (864) 488-9906
- **Mailing address fax:** (877) 941-7812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 226 | SC | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 06/21/2012