Organization Active NPI

Ambulance Corporation

Doing business as Lubbock Aid Ambulance

  • Land Ambulance
  • Lubbock, TX
National Provider Identifier
1316995194
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
152001 Issued in TX
Legal business name
AMBULANCE CORPORATION
Doing business as
Lubbock Aid Ambulance
Practice address
2743 34TH St
Lubbock, TX 79410-3521
Phone
(806) 792-2168
Fax
(806) 799-5060
NPI assigned
May 4, 2006
Last updated
Dec 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

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

Authorized official

Name
David E Ehler
Title
Owner
Phone
(806) 792-2168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 152001 TX Primary

Addresses

Primary practice location

2743 34TH St
Lubbock, TX 79410-3521

Mailing address

2743 34TH St
Lubbock, TX 79410-3521
Phone (806) 792-2168

Other identifiers 2

IdentifierTypeStateIssuer
RR3516OtherTXRAILROAD MEDICARE
086282301MedicaidTX

Other names 1

  • Lubbock Aid Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091201000546 TX Part B Supplier - Ambulance Service Supplier 8325187529 Practice locations: Lubbock, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1025704Lubbock Aid Ambulance2743 34TH Street, Lubbock, TX 79410Certificate of waiverMay 13, 2028

National Provider Directory

National Provider Directory

Locations

2743 34th St
Lubbock, TX 79410
Phone (806) 792-2166

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1316995194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2743 34TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794103521",
            "telephone_number": "806-792-2168",
            "fax_number": "806-799-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 34TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794103521",
            "telephone_number": "806-792-2168",
            "fax_number": "806-799-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULANCE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "EHLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-792-2168"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "152001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "RR3516",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086282301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lubbock Aid Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.