EMS Direct LLC
Organization Active NPI Ambulance · Kingsville, TX
NPI 1003098047 · NPPES record last updated Feb 11, 2025
Key facts
- NPI
- 1003098047
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 1000077 (TX)
- Legal business name
- EMS DIRECT LLC
- Practice address
- 1000 S 14TH St # 1020
Kingsville, TX 78363-6422 - Phone
- (347) 903-5933
- Fax
- (310) 733-5689
- NPI assigned
- Dec 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Robert Mbonye
- Title
- Director of Finance
- Phone
- (585) 278-0502
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080613000034 | TX | Part B Supplier - Ambulance Service Supplier | 7810068194 | Practice locations: San Antonio, TX |
| O20210908000997 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 7810068194 | Practice locations: Kingsville, TX |
National Provider Directory
Locations
2041 E Main St
Ste 301
Alice, TX 78332
Phone (361) 396-4773
9141 Emmott Rd
Houston, TX 77040
Phone (347) 903-5933
9230 Keough Rd
Ste 300
Houston, TX 77040
Phone (347) 903-5933
1000 S 14th St
#1020
Kingsville, TX 78363
Phone (347) 903-5933
1000 S 14th St
#1020C
Kingsville, TX 78363
Phone (347) 903-5933
316 S 6th St
Ste 20
Kingsville, TX 78363
Phone (361) 516-0513
8666 Huebner Rd
Ste 108
San Antonio, TX 78240
Phone (347) 903-5933
9702 Ball St
Ste 105
San Antonio, TX 78217
Phone (212) 273-9770
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1000077 | TX | Yes |
| Land Ambulance | 3416L0300X | 1000077 | TX |
Addresses
Primary practice location
1000 S 14TH St # 1020
Kingsville, TX 78363-6422
Mailing address
685 3Rd Ave FL 9
New York, NY 10017-4151
Phone (844) 443-6246
Other practice location 1
8666 Huebner Rd Ste 108
San Antonio, TX 78240-1836
Phone (347) 903-5933
Other practice location 2
9230 Keough Rd Ste 300
Houston, TX 77040-3338
Phone (347) 903-5933
Other practice location 3
6518 Teamwork Trl
Corpus Christi, TX 78417-2906
Phone (347) 903-5933
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AMB686 | Other | TX | MEDICARE PTAN |
Other providers in Kingsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.