Dominion Ambulance, LLC
Organization Active NPI Ambulance · El Paso, TX
NPI 1164546917 · NPPES record last updated Jun 12, 2024
Key facts
- NPI
- 1164546917
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- DOMINION AMBULANCE, LLC
- Practice address
- 6585 Montana Ave
S600B
El Paso, TX 79925-2151 - Phone
- (915) 351-3903
- Fax
- (915) 351-8889
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Debra Elisa Baird
- Title
- Office Manager
- Phone
- (915) 351-3903
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070904000614 | TX | Part B Supplier - Ambulance Service Supplier | 7416040613 | Practice locations: El Paso, TX |
National Provider Directory
Locations
2211 E Missouri Ave
Ste E
El Paso, TX 79903
Phone (915) 351-3803
6585 Montana Ave
#S600B
El Paso, TX 79925
Phone (915) 351-3903
155 N San Marcial St
El Paso, TX 79905
Phone (915) 351-3803
6585 Montana Ave
Ste S600B
El Paso, TX 79925
Phone (915) 351-3803
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Yes |
Addresses
Primary practice location
6585 Montana Ave
S600B
El Paso, TX 79925-2151
Mailing address
155 N San Marcial St
El Paso, TX 79905-1025
Phone (915) 351-3903
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.