Organization
MEDSTAR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM C RUGGLES (CFO)
(916) 669-0550
Entity
Organization
Contact information
Practice address
20 BUSINESS PARK WAY, SUITE 100, SACRAMENTO, CA 95828-0963
(916) 669-0550
(916) 669-0363
Mailing address
PO BOX 292007, SACRAMENTO, CA 95829-2007
(916) 669-0550
(916) 669-0363
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6NL
ELEC SUBMITTER # EDS
CA
05
—
MTN00926F
—
CA
Enumeration date
11/14/2006
Last updated
02/18/2010
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