Laredo Critical Care Ambulance Service Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

3416L0300X Issued in TX

Legal business name

LAREDO CRITICAL CARE AMBULANCE SERVICE INC

Practice address

707 E Calton Rd
Suite 203
Laredo, TX 78041-3638

Phone

(956) 795-0639

Fax

(956) 795-0364

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Hector G Salas

Title

Manager

Phone

(956) 795-0639

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1093865735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 E CALTON RD",
            "address_2": "SUITE 203",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413638",
            "telephone_number": "956-795-0639",
            "fax_number": "956-795-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 E CALTON RD",
            "address_2": "SUITE 203",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413638",
            "telephone_number": "956-795-0639",
            "fax_number": "956-795-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAREDO CRITICAL CARE AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "956-795-0639"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "3416L0300X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1839797-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AMB845",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Laredo, TX
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.