Coastline Ambulance Service, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1000209 Issued in TX

Legal business name

COASTLINE AMBULANCE SERVICE, LLC

Practice address

4455 S Padre Island Dr
Ste 21a
Corpus Christi, TX 78411-5101

Phone

(361) 723-1993

Fax

(361) 723-1994

NPI assigned

Dec 11, 2008

Organization subpart

No

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

Authorized official

Name

Oscar Ramirez, EMT-P

Title

Managing Member

Phone

(361) 723-1993

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Coastline Ambulance Doing business as

Locations

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1295970846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7899",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784677899",
            "telephone_number": "361-723-1993",
            "fax_number": "361-723-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 S PADRE ISLAND DR",
            "address_2": "STE 21A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115101",
            "telephone_number": "361-723-1993",
            "fax_number": "361-723-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE AMBULANCE SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "361-723-1993",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199308101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastline Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coastal Plains Hospital, LP
• Coastal Plains Hospital, LP
• Coastal Plains Hospital, LP
• Coastal Wellness, LLC
• Coastline Ambulance Service LLC
• Jacquelyn Andrea Coates, PHYSICIAN ASSISTANT
• Mark Andrew Coates, P.A.
• Maria Izzabella Coats
• Laura Nell Cobb, LCSW
• Megan Suzanne Cobb, FNP

• Land Ambulance in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.