Active NPI
Tac Med Inc.
- Land Ambulance
- Corpus Christi, TX
National Provider Identifier
1093988784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1000117
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AMB967 | Other | BLUE CROSS BLUE SHIELD | |
| 1947616 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080710000199 | TX | Part B Supplier - Ambulance Service Supplier | 9537231444 | Practice locations: Corpus Christi, TX; Lubbock, TX; Odessa, TX |
National Provider Directory
National Provider DirectoryLocations
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.