Active NPI
Gonzales Volunteer Ambulance Corps.
- Land Ambulance
- Gonzales, TX
National Provider Identifier
1750373577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 089001
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00151720 | Other | TX | RAILROAD MEDICARE |
Other names 1
- Gonzales County EMS
National Provider Directory
National Provider DirectoryLocations
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.