Organization
NORTHSTAR EMS INC
Active
Other names
NorthStar Paramedic Svcs-St Clair
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON ANTHONY SMELLEY (PRESIDENT)
(205) 345-0911
Entity
Organization
Contact information
Practice address
128 W PARK DR, BIRMINGHAM, AL 35211-4469
(205) 424-1909
(205) 426-7911
Mailing address
PO BOX 2788, TUSCALOOSA, AL 35403-2788
(205) 752-5866
(205) 345-7911
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
566
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000051901
—
AL
01
—
51051901
BLUE CROSS
—
Enumeration date
02/13/2006
Last updated
05/21/2015
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