Organization Active NPI

Lonestar Emt, LLC

Doing business as Lonestar Ambulance

  • Land Ambulance
  • Eagle Pass, TX
National Provider Identifier
1154658623
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1000279 Issued in TX
Legal business name
LONESTAR EMT, LLC
Doing business as
Lonestar Ambulance
Practice address
2210 N Veterans Blvd Ste 160
Eagle Pass, TX 78852-6459
Phone
(830) 513-8088
Fax
(830) 758-1192
NPI assigned
Nov 4, 2009
Last updated
Dec 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Authorized official

Name
Luis O Gonzalez
Title
Managing Member
Phone
(830) 968-3740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1000279 TX Primary

Addresses

Primary practice location

2210 N Veterans Blvd Ste 160
Eagle Pass, TX 78852-6459

Mailing address

2210 N Veterans Blvd Ste 160
Eagle Pass, TX 78852-6459
Phone (830) 513-8088

Other names 1

  • LONESTAR AMBULANCE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100625000386 TX Part B Supplier - Ambulance Service Supplier 5294866885 Practice locations: Eagle Pass, TX

National Provider Directory

National Provider Directory

Locations

2210 N Veterans Blvd
Ste 160
Eagle Pass, TX 78852
Phone (830) 513-8088

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1154658623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 N VETERANS BLVD STE 160",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788526459",
            "telephone_number": "830-513-8088",
            "fax_number": "830-758-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 N VETERANS BLVD STE 160",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788526459",
            "telephone_number": "830-513-8088",
            "fax_number": "830-758-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONESTAR EMT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "830-968-3740"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LONESTAR AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LONESTAR AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 18, 2019; 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.