Tri County Emergency Medical Services, Inc
Organization Active NPI Ambulance · Ingleside, TX
NPI 1790769743 · NPPES record last updated Feb 26, 2024
Key facts
- NPI
- 1790769743
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- TRI COUNTY EMERGENCY MEDICAL SERVICES, INC
- Practice address
- 2565 1St St
Ingleside, TX 78362-5931 - Phone
- (361) 776-0025
- Fax
- (361) 776-3560
- NPI assigned
- Dec 2, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Carrie De Leon
- Title
- Office Manager
- Phone
- (361) 776-0025
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1041775 | Tri County Emergency Medical Service | Certificate of waiver | Jun 12, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100811000531 | TX | Part B Supplier - Ambulance Service Supplier | 9739213844 | Practice locations: Ingleside, TX |
National Provider Directory
Locations
2565 1st St
Ingleside, TX 78362
Phone (361) 776-0025
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Yes | ||
| Land Ambulance | 3416L0300X | 205009 | TX |
Addresses
Primary practice location
2565 1St St
Ingleside, TX 78362-5931
Mailing address
PO Box 1378
Ingleside, TX 78362-1378
Phone (361) 776-0025
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000144801 | Medicaid | TX |
Other providers in Ingleside, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.