Organization Active NPI

Lifeline Ambulance Services L.L.C.

  • Land Ambulance
  • Laredo, TX
National Provider Identifier
1073734885
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
240018 Issued in TX
Legal business name
LIFELINE AMBULANCE SERVICES L.L.C.
Practice address
6502 N Bartlett Ave
Laredo, TX 78041-6444
Phone
(956) 723-5421
Fax
(956) 725-0271
NPI assigned
May 1, 2007
Last updated
Feb 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Mr. Jose A. Santos Sr.
Title
Owner
Phone
(956) 722-7486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 240018 TX Primary

Addresses

Primary practice location

6502 N Bartlett Ave
Laredo, TX 78041-6444

Mailing address

PO Box 452145
Laredo, TX 78045-0053
Phone (956) 722-7486

Other identifiers 2

IdentifierTypeStateIssuer
158007801MedicaidTX
AMB701OtherTXBCBSTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1073734885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452145",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780450053",
            "telephone_number": "956-722-7486",
            "fax_number": "956-725-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 N BARTLETT AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416444",
            "telephone_number": "956-723-5421",
            "fax_number": "956-725-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE AMBULANCE SERVICES L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-722-7486",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "240018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158007801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "AMB701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.