Organization Active NPI

Southern Interprises

Doing business as Coastal EMS

  • Ambulance
  • Alton, TX
National Provider Identifier
1356504955
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
SOUTHERN INTERPRISES
Doing business as
Coastal EMS
Practice address
310 E Main Ave
PMB 213
Alton, TX 78573-6872
Phone
(956) 240-8910
NPI assigned
Jul 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Mr. Juan Francisco Cordero Jr., ECA
Title
Administrator
Phone
(956) 240-8910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X TX Primary

Addresses

Primary practice location

310 E Main Ave
PMB 213
Alton, TX 78573-6872

Mailing address

310 E. Main Ave
PMB 213
Alton, TX 78573
Phone (956) 240-8910

Other names 1

  • Coastal EMS Doing business as

National Provider Directory

National Provider Directory

Locations

310 E Main Ave
Alton, TX 78573
Phone (956) 240-8910

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1356504955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E. MAIN AVE",
            "address_2": "PMB 213",
            "city": "ALTON",
            "state": "TX",
            "postal_code": "78573",
            "telephone_number": "956-240-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E MAIN AVE",
            "address_2": "PMB 213",
            "city": "ALTON",
            "state": "TX",
            "postal_code": "785736872",
            "telephone_number": "956-240-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN INTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "CORDERO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "FRANCISCO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-240-8910",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "ECA"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.