# MEDSTAR EMS LLC

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

## Provider details

- **NPI number:** 1467916387
- **Authorized official:** GLEN F VANN (PRESIDENT/CEO)
- **Authorized official phone:** (404) 319-6038

## Contact information

- **Practice address:** 8321 OFFICE PARK DR, DOUGLASVILLE, GA 30134-6936
- **Practice address phone:** (404) 319-6038
- **Mailing address:** 1375 PRITCHETT INDUSTRIAL BLVD, AUSTELL, GA 30168-5520
- **Mailing address phone:** (404) 319-6038

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 01/24/2019
- **Last updated:** 04/15/2020