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JJDAC, LLC
NPI 1922514686
Ambulance - Land Transport in Gallup, NM

Active since December 18, 2017
208 W MALONEY AVE, GALLUP, NM 87301(505) 722-5295(575) 523-0459 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 25, 2026, Sep 15, 2025, Jun 24, 2024 and 8 more (11 updates tracked since 2017).

About Jjdac, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JJDAC, LLC (NPI 1922514686), doing business as Med Star Ambulance, is a healthcare organization registered as a land transport in Gallup, New Mexico and active in the NPI registry since December 2017. The organization lists Brian Scott Tierney, Evp, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1922514686
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameJJDAC, LLC
Location Address208 W MALONEY AVEGallup, NM 87301-5214
Mailing AddressPo Box 56141Los Angeles, CA 90074-6141 · (800) 913-9106
Phone(505) 722-5295
Fax(575) 523-0459
Organization SubpartYes
Authorized OfficialBrian Scott TierneyEvp, Chief Financial Officer · (833) 703-2294
Enumeration DateDecember 18, 2017
Last NPPES UpdateMarch 25, 202611 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1922514686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
Also ListedAmbulanceTaxonomy 341600000X
208 W MALONEY AVE, Gallup, NM 87301
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Other Names 1

Doing Business AsMed Star Ambulance

Other Identifiers 1

Medicaid15677567NM

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
6,042 services555 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
513 services294 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
380 services282 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
192 services146 patients
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426
Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.
45 services44 patients
Advanced life support, level 2 (als 2) A0433
Advanced Life Support Level 2 (ALS 2) is a medical service provided during emergencies. It involves advanced procedures like defibrillation, medication administration or endotracheal intubation by trained professionals to stabilize critical patients.
11 services11 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jjdac, LLC's NPI number?

The NPI number for Jjdac, LLC is 1922514686. It was assigned to this organization in the NPPES registry on December 18, 2017. The provider is doing business as Med Star Ambulance.

Where is Jjdac, LLC located?

Jjdac, LLC is located at 208 W Maloney Ave, Gallup, NM 87301. The listed phone number is (505) 722-5295.

What is Jjdac, LLC's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

When was this NPI record last updated?

The NPPES record for Jjdac, LLC was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.