Organization Active NPI

Gonzales Volunteer Ambulance Corps.

  • Land Ambulance
  • Gonzales, TX
National Provider Identifier
1750373577
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
089001 Issued in TX
Legal business name
GONZALES VOLUNTEER AMBULANCE CORPS.
Doing business as
Gonzales County EMS
Practice address
1703 N Saint Joseph St
Gonzales, TX 78629-2331
Phone
(830) 672-7675
Fax
(830) 672-2222
NPI assigned
Aug 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Carla J Russell, EMT-P
Title
Office Manager
Phone
(830) 672-7675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 089001 TX Primary

Addresses

Primary practice location

1703 N Saint Joseph St
Gonzales, TX 78629-2331

Mailing address

PO Box 62
1703 St. Joseph St.
Gonzales, TX 78629-0062
Phone (830) 672-7675

Other identifiers 1

IdentifierTypeStateIssuer
P00151720OtherTXRAILROAD MEDICARE

Other names 1

  • Gonzales County EMS Doing business as

National Provider Directory

National Provider Directory

Locations

1703 N Saint Joseph St
Gonzales, TX 78629
Phone (830) 672-7675

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750373577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62",
            "address_2": "1703 ST. JOSEPH ST.",
            "city": "GONZALES",
            "state": "TX",
            "postal_code": "786290062",
            "telephone_number": "830-672-7675",
            "fax_number": "830-672-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 N SAINT JOSEPH ST",
            "city": "GONZALES",
            "state": "TX",
            "postal_code": "786292331",
            "telephone_number": "830-672-7675",
            "fax_number": "830-672-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALES VOLUNTEER AMBULANCE CORPS.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "830-672-7675",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "089001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00151720",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gonzales County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gonzales, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.