Organization Active NPI

Rio Grande Ambulance LLC

  • Land Ambulance
  • Eagle Pass, TX
National Provider Identifier
1346951555
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
RIO GRANDE AMBULANCE LLC
Practice address
484 Washington St
Suite a
Eagle Pass, TX 78852-4532
Phone
(830) 213-8187
NPI assigned
Dec 8, 2022
Last updated
Dec 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Authorized official

Name
Mrs. Lupita Nwanna
Title
Managing Member
Phone
(830) 968-1038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

484 Washington St
Suite a
Eagle Pass, TX 78852-4532

Mailing address

484 Washington St
Suite a
Eagle Pass, TX 78852-4532
Phone (830) 968-1038

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230413000028 TX Part B Supplier - Ambulance Service Supplier 1850766429 Practice locations: Eagle Pass, TX

National Provider Directory

National Provider Directory

Locations

484 Washington St
#A
Eagle Pass, TX 78852
Phone (830) 213-8187

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1346951555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 WASHINGTON ST",
            "address_2": "SUITE A",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524532",
            "telephone_number": "830-968-1038",
            "fax_number": "830-776-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 WASHINGTON ST",
            "address_2": "SUITE A",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524532",
            "telephone_number": "830-213-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO GRANDE AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "NWANNA",
        "authorized_official_first_name": "LUPITA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "830-968-1038",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Pass, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.