Organization
NORTHSTAR EMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA P RUSSELL (CEO)
(281) 548-7772
Entity
Organization
Contact information
Practice address
2022 HUMBLE PLACE DR, HUMBLE, TX 77338-5281
(281) 548-7772
(281) 540-6669
Mailing address
PO BOX 2526, HUMBLE, TX 77347-2526
(281) 548-7772
(281) 540-6669
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
300217
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007056-01
—
TX
05
—
0007056-02
—
TX
01
—
10024740
AMERIGROUP
TX
01
—
1430108
TEXAS HEALTHSPRING
TX
01
—
634626
MEM HERMANN HEALTHCARE SY
TX
01
—
790587136
TX CHILDRENS HEALTH PLAN
TX
01
—
8100015
EVERCARE
TX
01
—
8669637
CIGNA
TX
01
—
AMB521
AMB521
TX
01
—
EVERCARE
8100015
TX
Enumeration date
11/07/2006
Last updated
06/21/2018
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