Organization Active NPI

Tac Med Inc.

  • Land Ambulance
  • Corpus Christi, TX
National Provider Identifier
1093988784
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1000117 Issued in TX
Legal business name
TAC MED INC.
Practice address
5315 Everhart Rd
Suite 8
Corpus Christi, TX 78411-4865
Phone
(361) 882-4290
Fax
(361) 882-4097
NPI assigned
Apr 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Ms. Loretta Cantu
Title
Ceo
Phone
(361) 882-4290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1000117 TX Primary

Addresses

Primary practice location

5315 Everhart Rd
Suite 8
Corpus Christi, TX 78411-4865

Mailing address

PO Box 1646
Mission, TX 78573-0029
Phone (361) 882-4290

Other identifiers 2

IdentifierTypeStateIssuer
AMB967OtherBLUE CROSS BLUE SHIELD
1947616MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080710000199 TX Part B Supplier - Ambulance Service Supplier 9537231444 Practice locations: Corpus Christi, TX; Lubbock, TX; Odessa, TX

National Provider Directory

National Provider Directory

Locations

5233 Ih 37
Ste C15
Corpus Christi, TX 78408
Phone (361) 882-4290

5315 Everhart Rd
Ste 8
Corpus Christi, TX 78411
Phone (361) 882-4290

8522 Mlk Blvd
Lubbock, TX 79404
Phone (806) 748-1505

2915 E US Highway 80
Odessa, TX 79761
Phone (432) 333-4700

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1093988784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1646",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785730029",
            "telephone_number": "361-882-4290",
            "fax_number": "361-882-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 EVERHART RD",
            "address_2": "SUITE 8",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114865",
            "telephone_number": "361-882-4290",
            "fax_number": "361-882-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAC MED INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "CANTU",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "361-882-4290",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AMB967",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1947616",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.