Active NPI
Vital Care Ambulance LLC
- Ambulance
- Rocksprings, TX
National Provider Identifier
1558040592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- VITAL CARE AMBULANCE LLC
- Practice address
- 1301 N Texas Highway 55
Rocksprings, TX 78880 - Phone
- (325) 895-2360
- NPI assigned
- Jul 17, 2023
- 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
- Serena Crumby
- Title
- Manager
- Phone
- (325) 206-1204
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
1301 N Texas Highway 55
Rocksprings, TX 78880
Mailing address
PO Box 34
Rocksprings, TX 78880-0034
Phone (325) 895-2360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230913000047 | TX | Part B Supplier - Ambulance Service Supplier | 9436513231 | Practice locations: Rocksprings, TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689552000000",
"number": "1558040592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34",
"city": "ROCKSPRINGS",
"state": "TX",
"postal_code": "788800034",
"telephone_number": "325-895-2360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 N TEXAS HIGHWAY 55",
"city": "ROCKSPRINGS",
"state": "TX",
"postal_code": "78880",
"telephone_number": "325-895-2360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL CARE AMBULANCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-17",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A",
"authorized_official_last_name": "CRUMBY",
"authorized_official_first_name": "SERENA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "325-206-1204"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocksprings, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.