Organization Active NPI

Abundant Ambulance LLC

  • Ambulance
  • San Antonio, TX
National Provider Identifier
1093812018
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
101342 Issued in TX
Legal business name
ABUNDANT AMBULANCE LLC
Practice address
8034 Culebra Rd
102
San Antonio, TX 78251-1882
Phone
(210) 444-9039
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Rosalyn Smart
Title
Owner
Phone
(713) 252-0123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 101342 TX Primary

Addresses

Primary practice location

8034 Culebra Rd
102
San Antonio, TX 78251-1882

Mailing address

PO Box 300088
Houston, TX 77230-0088
Phone (713) 252-0123

Other identifiers 2

IdentifierTypeStateIssuer
AMB902OtherTXBLUE CROSS BLUE SHIELD
169884701MedicaidTX

National Provider Directory

National Provider Directory

Locations

8034 Culebra Rd
Ste 102
San Antonio, TX 78251
Phone (210) 444-9039

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1093812018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300088",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772300088",
            "telephone_number": "713-252-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8034 CULEBRA RD",
            "address_2": "102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511882",
            "telephone_number": "210-444-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "SMART",
        "authorized_official_first_name": "ROSALYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-252-0123"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "101342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AMB902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169884701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.