Organization Active NPI

Vital Line Corporation

  • Land Ambulance
  • Edinburg, TX
National Provider Identifier
1437132024
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
VITAL LINE CORPORATION
Practice address
221 E. Wisconsin Rd
Edinburg, TX 78540
Phone
(956) 383-5527
Fax
(956) 383-4592
NPI assigned
Nov 28, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Ivan Melendez, M.D.
Title
Medical Director
Phone
(956) 213-5070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TX Primary

Addresses

Primary practice location

221 E. Wisconsin Rd
Edinburg, TX 78540

Mailing address

221 E. Wisconsin Rd
P.O. Box 3666
Edinburg, TX 78540
Phone (956) 383-5527

Other identifiers 1

IdentifierTypeStateIssuer
000694201MedicaidTX

National Provider Directory

National Provider Directory

Locations

221 E Wisconsin Rd
Edinburg, TX 78539
Phone (956) 383-5517

1691 E San Benito St
Ste 101
Rio Grande City, TX 78582
Phone (956) 716-8200

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437132024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E. WISCONSIN RD",
            "address_2": "P.O. BOX 3666",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78540",
            "telephone_number": "956-383-5527",
            "fax_number": "956-383-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E. WISCONSIN RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78540",
            "telephone_number": "956-383-5527",
            "fax_number": "956-383-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL LINE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "956-213-5070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000694201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.