Elite Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1000482 Issued in TX

Legal business name

ELITE AMBULANCE SERVICE

Practice address

5154 N FM 755
Rio Grande City, TX 78582-9389

Phone

(956) 256-9661

Fax

(956) 487-2903

NPI assigned

Aug 11, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Carlos A Mata

Title

Administrator

Phone

(956) 487-1303

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1548575749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5154 N.FM 755",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785829389",
            "telephone_number": "956-256-9661",
            "fax_number": "956-487-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5154 N FM 755",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785829389",
            "telephone_number": "956-256-9661",
            "fax_number": "956-487-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "MATA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-487-1303",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Rio Grande City, TX
• Providers in Rio Grande City, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.