City of Edna Volunteer Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

120007 Issued in TX

Legal business name

CITY OF EDNA VOLUNTEER AMBULANCE SERVICE

Practice address

103 N Allen St
Edna, TX 77957-2642

Phone

(361) 782-3159

Fax

(361) 782-7382

NPI assigned

Nov 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Loyd Marshall Chase Jr.

Title

EMS Director

Phone

(361) 782-3159

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073689428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 W MAIN ST",
            "city": "EDNA",
            "state": "TX",
            "postal_code": "779572725",
            "telephone_number": "361-782-3159",
            "fax_number": "361-782-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N ALLEN ST",
            "city": "EDNA",
            "state": "TX",
            "postal_code": "779572642",
            "telephone_number": "361-782-3159",
            "fax_number": "361-782-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF EDNA VOLUNTEER AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "LOYD",
        "authorized_official_middle_name": "MARSHALL",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "361-782-3159",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "120007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jominique Brown
• Bruce W Rogers
• Sarah Bubela, LCSW
• Care Inn of Edna LLC
• Citizens Medical Center County of Victoria
• Stephanie Cunningham, FNP-C
• Hiwot Dinkale, DR
• Deke Steven Eberhard, M.D.
• Edna Dentistry, PLLC
• Edna Isd

• All providers in Edna, TX
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.