Priority Ambulance Transfer LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1000705 Issued in TX

Legal business name

PRIORITY AMBULANCE TRANSFER LLC

Practice address

11104 W Airport Blvd Ste 131
Stafford, TX 77477-3072

Phone

(281) 564-2800

Fax

(877) 310-0729

NPI assigned

Oct 5, 2011

Organization subpart

No

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

Authorized official

Name

Ronak R Patel

Title

Administrator

Phone

(281) 564-2800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1669756904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2063",
            "city": "ALIEF",
            "state": "TX",
            "postal_code": "774112063",
            "telephone_number": "281-564-2800",
            "fax_number": "281-954-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 W AIRPORT BLVD STE 131",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773072",
            "telephone_number": "281-564-2800",
            "fax_number": "877-310-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY AMBULANCE TRANSFER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RONAK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-564-2800"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDHS",
            "identifier": "1000705",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Stafford, TX
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• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.