# MEDSTAR EMS, INC

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

## Provider details

- **NPI number:** 1124189204
- **Authorized official:** RANDALL E HAYFORD (PRESIDENT)
- **Authorized official phone:** (603) 539-9111

## Contact information

- **Practice address:** \#40 ROUTE 41, WEST OSSIPEE, NH 03890-0747
- **Practice address phone:** (603) 539-9111
- **Mailing address:** POB 747, \#40 ROUTE 41, WEST OSSIPEE, NH 03890
- **Mailing address phone:** (603) 539-9111
- **Mailing address fax:** (603) 539-9074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0282 | NH | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | MEDS598900 | BLUE CROSS | NH |