Organization Active NPI

City of Eagle Pass

  • Land Ambulance
  • Eagle Pass, TX
National Provider Identifier
1104931278
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
162001 Issued in TX
Legal business name
CITY OF EAGLE PASS
Practice address
2558 El Indio Hwy
Eagle Pass, TX 78852-5555
Phone
(830) 757-4231
Fax
(830) 757-9152
NPI assigned
Aug 20, 2006
Last updated
Nov 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Jason Isaac Mares
Title
Leiutenant, EMS Compliance
Phone
(830) 757-4231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 162001 TX Primary

Addresses

Primary practice location

2558 El Indio Hwy
Eagle Pass, TX 78852-5555

Mailing address

PO Box 4971
Houston, TX 77210-4971
Phone (830) 757-4231

Other identifiers 1

IdentifierTypeStateIssuer
086535401MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090914000636 TX Part B Supplier - Ambulance Service Supplier 7618023888 Practice locations: Eagle Pass, TX

National Provider Directory

National Provider Directory

Locations

2420 2nd St
Eagle Pass, TX 78852
Phone (830) 757-4231

2558 El Indio Hwy
Eagle Pass, TX 78852
Phone (830) 757-4231

489 S Monroe St
Bldg B
Eagle Pass, TX 78852
Phone (830) 757-4231

590 Quarry St
Eagle Pass, TX 78852
Phone (870) 757-4231

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1104931278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4971",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104971",
            "telephone_number": "830-757-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2558 EL INDIO HWY",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788525555",
            "telephone_number": "830-757-4231",
            "fax_number": "830-757-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF EAGLE PASS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "MARES",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ISAAC",
        "authorized_official_title_or_position": "LEIUTENANT, EMS COMPLIANCE",
        "authorized_official_telephone_number": "830-757-4231"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "162001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086535401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Pass, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.