Active NPI
City of Eagle Pass
- Land Ambulance
- Eagle Pass, TX
National Provider Identifier
1104931278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 162001
- 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, 2025
- 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
- Jason Isaac Mares
- Title
- Leiutenant, EMS Compliance
- Phone
- (830) 757-4231
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 086535401 | 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 |
|---|---|---|---|---|
| O20090914000636 | TX | Part B Supplier - Ambulance Service Supplier | 7618023888 | Practice locations: Eagle Pass, TX |
National Provider Directory
National Provider DirectoryLocations
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.