Active NPI
Medina Valley EMS Incorporated
Doing business as Medina County EMS
- Land Ambulance
- Castroville, TX
National Provider Identifier
1467466326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 163005
- Legal business name
- MEDINA VALLEY EMS INCORPORATED
- Doing business as
- Medina County EMS
- Practice address
- 800 Madrid
Castroville, TX 78009-1367 - Phone
- (830) 931-2777
- Fax
- (830) 931-2777
- NPI assigned
- Jul 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Raymond L Jagge
- Title
- Administrator
- Phone
- (830) 931-2777
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 163005 | TX | |
| Land Ambulance | 3416L0300X | 163005 | TX | Primary |
Addresses
Primary practice location
800 Madrid
Castroville, TX 78009-1367
Mailing address
PO Box 1367
Castroville, TX 78009-1367
Phone (830) 931-2777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 086608901 | Medicaid | TX | |
| 504965 | Other | TX | BCBS |
Other names 1
- Medina County EMS
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330905600000",
"number": "1467466326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1367",
"city": "CASTROVILLE",
"state": "TX",
"postal_code": "780091367",
"telephone_number": "830-931-2777",
"fax_number": "830-931-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MADRID",
"city": "CASTROVILLE",
"state": "TX",
"postal_code": "780091367",
"telephone_number": "830-931-2777",
"fax_number": "830-931-2777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDINA VALLEY EMS INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2012-03-05",
"status": "A",
"authorized_official_last_name": "JAGGE",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "830-931-2777",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "TX",
"license": "163005",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TX",
"license": "163005",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "086608901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "504965",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medina County EMS",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Castroville, TX
- James B. Mazock, DMD
- Medcare Associates PA
- Medcare Imaging PLLC
- Medina County Hospital District (Medical Clinic of Castroville)
- Medina County Hospital District (Medina Valley Health & Rehabilitation Center)
- Medina Valley Isd
- Medina Valley Pediatrics, PLLC
- Medina Valley Spine and Joint, LLC
- Eloy Medina Medina
- Bernabe Isaac Mercado, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.