Organization Active NPI

Med-Life EMS LLC

  • Land Ambulance
  • Mission, TX
National Provider Identifier
1649577008
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1000571 Issued in TX
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

Updated by the provider on Feb 3, 2014

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20110404000825 TX Part B Supplier - Ambulance Service Supplier 9335323039 Practice locations: Mission, TX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.