# NORTHSTAR EMS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NorthStar Paramedic Svcs-St Clair
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720052244
- **Authorized official:** MR. JON ANTHONY SMELLEY (PRESIDENT)
- **Authorized official phone:** (205) 345-0911

## Contact information

- **Practice address:** 128 W PARK DR, BIRMINGHAM, AL 35211-4469
- **Practice address phone:** (205) 424-1909
- **Practice address fax:** (205) 426-7911
- **Mailing address:** PO 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 | 566 | AL | Yes |

## Other

- **Enumeration date:** 02/13/2006
- **Last updated:** 05/21/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000051901 | — | AL |
| 01 | — | 51051901 | BLUE CROSS | — |