Mta Ambulance Service of Lubbock, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

800086 Issued in TX

Legal business name

MTA AMBULANCE SERVICE OF LUBBOCK, LLC

Practice address

4523 Highway 84
Lubbock, TX 79416-9609

Phone

(806) 747-4873

Fax

(806) 747-4871

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Travis McGuire Overton

Title

General Manager

Phone

(806) 747-4873

Specialties & licenses 1

Addresses

Other names 1

• Med-Tech Ambulance of Lubbock Doing business as

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245338664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4523 HIGHWAY 84",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794169609",
            "telephone_number": "806-747-4873",
            "fax_number": "806-747-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4523 HIGHWAY 84",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794169609",
            "telephone_number": "806-747-4873",
            "fax_number": "806-747-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTA AMBULANCE SERVICE OF LUBBOCK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OVERTON",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "MCGUIRE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "806-747-4873",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "800086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med-Tech Ambulance of Lubbock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.