RGV Ambulance Service L.L.C.
Organization Active NPI Land Ambulance · La Joya, TX
NPI 1336463553 · NPPES record last updated Mar 17, 2010
Key facts
- NPI
- 1336463553
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 1000411 (TX)
- Legal business name
- RGV AMBULANCE SERVICE L.L.C.
- Practice address
- 848 W. Expressway 83
La Joya, TX 78560 - Phone
- (956) 519-0029
- NPI assigned
- Mar 17, 2010
- Organization subpart
- No
Authorized official
- Name
- Jorge D. Carrera
- Title
- Director
- Phone
- (956) 570-7959
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2003002 | RGV Ambulance Service LLC | Certificate of waiver | Jan 28, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100525000746 | TX | Part B Supplier - Ambulance Service Supplier | 8527197821 | Practice locations: La Joya, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1000411 | TX | Yes |
Addresses
Primary practice location
848 W. Expressway 83
La Joya, TX 78560
Mailing address
PO Box 487
Mission, TX 78573-0009
Phone (956) 519-0029
Other providers in La Joya, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2010. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.