NPIMap

Organization Active NPI

Delta Ambulance Service, LLC

  • Ambulance
  • Elsa, TX
National Provider Identifier
1558509521
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1000217 Issued in TX
Legal business name
DELTA AMBULANCE SERVICE, LLC
Practice address
215 N Broadway
Elsa, TX 78543-2129
Phone
(956) 292-9541
NPI assigned
Jan 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Authorized official

Name
Jose Angel Gomez Jr.
Title
EMS Director
Phone
(956) 292-9541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1000217 TX Primary

Addresses

Primary practice location

215 N Broadway
Elsa, TX 78543-2129

Mailing address

PO Box 2129
215 N Broadway
Elsa, TX 78543-2129
Phone (956) 292-9541

Other identifiers 1

IdentifierTypeStateIssuer
1000217OtherTXTEXAS DEPARTMENT OF STATE HEALTH SERVICES EMS PROVIDER FIRM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1558509521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2129",
            "address_2": "215 N BROADWAY",
            "city": "ELSA",
            "state": "TX",
            "postal_code": "785432129",
            "telephone_number": "956-292-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N BROADWAY",
            "city": "ELSA",
            "state": "TX",
            "postal_code": "785432129",
            "telephone_number": "956-292-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA AMBULANCE SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "956-292-9541",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "1000217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF STATE HEALTH SERVICES EMS PROVIDER FIRM",
            "identifier": "1000217",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elsa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.