Organization
STARR LIGHT EXPRESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON FRUTH (CO-OWNER)
(707) 348-2294
Entity
Organization
Contact information
Practice address
815 MYRTLE ST, FORT BRAGG, CA 95437-5530
(707) 348-2294
Mailing address
815 MYRTLE ST, FORT BRAGG, CA 95437-5530
(707) 348-2294
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
12/28/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up