OrganizationActive
Medstar Ambulance Inc
NPI 1235397282 · Land Ambulance · Sparta, IL
Provider details
- NPI number
- 1235397282
- Entity type
- Organization
- Primary specialty
- Land AmbulanceTransportation Services
- Organization subpart
- No
- Authorized official
- Deborah Kelley, Human Resource Manager(618) 443-5061
- License
- 4837 (IL)
Specialties & taxonomies
Transportation Services
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
705 Bradbury Ln
Sparta, IL 62286-2102
Phone: (618) 443-5061
Fax: (618) 443-3897
Street-level locationGet directions
Mailing address
Po Box 296
Sparta, IL 62286-0296
Registry dates
- Enumerated
- 2008-05-27
- Last updated
- 2008-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.