Vic EMS LLC

Primary specialty

Water AmbulanceTaxonomy code 3416S0300X

Legal business name

VIC EMS LLC

Practice address

8700 Commerce Park Dr
228G
Houston, TX 77036-7497

Phone

(713) 771-5088

Fax

(713) 771-5096

NPI assigned

Jul 17, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Victoria Ohanaka

Title

President

Phone

(713) 771-5088

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1649400151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 COMMERCE PARK DR",
            "address_2": "228G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367497",
            "telephone_number": "713-771-5088",
            "fax_number": "713-771-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 COMMERCE PARK DR",
            "address_2": "228G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367497",
            "telephone_number": "713-771-5088",
            "fax_number": "713-771-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIC EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "OHANAKA",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-771-5088",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416S0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Water Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF STATE HEALTH SERVICES",
            "identifier": "1000276",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205707701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Houston, TX
• Water Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.