Alliance Ambulance, Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

101212 Issued in TX

Legal business name

ALLIANCE AMBULANCE, INC

Practice address

6214 Saxon Dr
Houston, TX 77092-6247

Phone

(713) 682-2273

Fax

(713) 682-5815

NPI assigned

Sep 9, 2005

Last updated

Sep 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jon Edens

Title

Operations Manager

Phone

(713) 682-2273

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1356335806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6214 SAXON DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770926247",
            "telephone_number": "713-682-2273",
            "fax_number": "713-682-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6214 SAXON DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770926247",
            "telephone_number": "713-682-2273",
            "fax_number": "713-682-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE AMBULANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "EDENS",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "713-682-2273"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "101212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000574601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4644548",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Houston, TX
• Providers in Houston, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.