Active NPI
Med-Life EMS LLC
- Land Ambulance
- Mission, TX
National Provider Identifier
1649577008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1000571
- Legal business name
- MED-LIFE EMS LLC
- Practice address
- 2031 E Griffin Pkwy Ste B-1
Mission, TX 78572-3222 - Phone
- (956) 451-3634
- Fax
- (956) 424-6606
- NPI assigned
- Feb 22, 2011
- 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
- Miss Claudia A Delgado
- Title
- Administrator
- Phone
- (956) 451-3634
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1000571 | TX | Primary |
Addresses
Primary practice location
2031 E Griffin Pkwy Ste B-1
Mission, TX 78572-3222
Mailing address
2031 E Griffin Pkwy Ste B-1
Mission, TX 78572-3222
Phone (956) 451-3634
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110404000825 | TX | Part B Supplier - Ambulance Service Supplier | 9335323039 | Practice locations: Mission, TX |
National Provider Directory
National Provider DirectoryLocations
1300 N 10th St
Ste 3300
McAllen, TX 78501
Phone (956) 451-3634
2031 E Griffin Pkwy
Ste B1
Mission, TX 78572
Phone (956) 451-3634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391385600000",
"number": "1649577008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2031 E GRIFFIN PKWY STE B-1",
"city": "MISSION",
"state": "TX",
"postal_code": "785723222",
"telephone_number": "956-451-3634",
"fax_number": "956-424-6606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2031 E GRIFFIN PKWY STE B-1",
"city": "MISSION",
"state": "TX",
"postal_code": "785723222",
"telephone_number": "956-451-3634",
"fax_number": "956-424-6606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED-LIFE EMS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-22",
"last_updated": "2014-02-03",
"status": "A",
"authorized_official_last_name": "DELGADO",
"authorized_official_first_name": "CLAUDIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "956-451-3634",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TX",
"license": "1000571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.