# NORTHSTAR EMS INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** FAYETTE COUNTY EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134377062
- **Authorized official:** MR. JON A SMELLEY (PRESIDENT)
- **Authorized official phone:** (205) 247-4748

## Contact information

- **Practice address:** 2328 TEMPLE AVE N, FAYETTE, AL 35555-1118
- **Practice address phone:** (205) 904-8322
- **Mailing address:** P O BOX 2788, TUSCALOOSA, AL 35403-2788
- **Mailing address phone:** (205) 752-5866
- **Mailing address fax:** (205) 345-7911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 975 | AL | Yes |

## Other

- **Enumeration date:** 09/04/2008
- **Last updated:** 06/19/2020