Itc Medical Transport Company, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1000109 Issued in TX

Legal business name

ITC MEDICAL TRANSPORT COMPANY, INC.

Practice address

4325 Kostoryz Rd
Corpus Christi, TX 78415-5018

Phone

(361) 334-5870

Fax

(361) 334-5871

NPI assigned

Feb 21, 2008

Organization subpart

No

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

Authorized official

Name

Pauline Ledesma

Title

Manager

Phone

(361) 334-5870

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1548439748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7619",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784677619",
            "telephone_number": "361-334-5870",
            "fax_number": "361-334-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 KOSTORYZ RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784155018",
            "telephone_number": "361-334-5870",
            "fax_number": "361-334-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITC MEDICAL TRANSPORT COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "LEDESMA",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "361-334-5870"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19674301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.