Freedom Ambulance LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1000023 Issued in TX

Legal business name

FREEDOM AMBULANCE LLC

Practice address

104 S Jefferson St
Beeville, TX 78102-4830

Phone

(361) 358-4808

Fax

(361) 358-4810

NPI assigned

May 21, 2007

Last updated

Oct 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Julie Ann Benson, EMTP

Title

Owner

Phone

(361) 358-4808

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1285843805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S JEFFERSON ST",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781024830",
            "telephone_number": "361-358-4808",
            "fax_number": "361-358-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S JEFFERSON ST",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781024830",
            "telephone_number": "361-358-4808",
            "fax_number": "361-358-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-358-4808",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EMTP"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187627802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "AMB871",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eloisa F. Flores, FNP
• Mercedita Flynn, FNP
• Christina Foster, NP
• Francisco J. Calica MD PA
• Tara Dawn Franklin, LPC
• Dalia Garcia, RPH
• Kathryn Garcia, LPC
• Lana Marie Garza, M.S., CCC-SLP
• Shelly Lynn Garza, LPC
• Gerardo D Quinones DMD PLLC (Beeville Dental Care)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; 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.