Organization
EMSSTAR, LLC
Active
Organization
EMSSTAR, LLC
Active
Other names
EM-STAR AMBULANCE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN A BOLLENDORF (MARKETING)
(215) 764-8803
Entity
Organization
Contact information
Practice address
300 DOMINO LN, PHILADELPHIA, PA 19128-4352
(215) 764-8803
Mailing address
300 DOMINO LN, PHILADELPHIA, PA 19128-4352
(215) 764-8803
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
04228
PA
341600000X
Ambulance
EMST22015
NJ
3416L0300X
Land Ambulance
Primary
04228
PA
3416L0300X
Land Ambulance
EMST22015
NJ
343900000X
Non-emergency Medical Transport (VAN)
EMST22015
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077488
—
NJ
05
—
1011955800001
—
PA
Enumeration date
11/21/2005
Last updated
02/01/2012
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