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

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2003002RGV Ambulance Service LLC
848 E Expressway 83, La Joya, TX 78560
Certificate of waiverJan 28, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100525000746 TX Part B Supplier - Ambulance Service Supplier 8527197821 Practice locations: La Joya, TX

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

All providers in La Joya, TX · Land Ambulance in Texas

Sources for this page

Verify at the official NPI Registry.