Amistad Ambulance Transports, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

800145 Issued in TX

Legal business name

AMISTAD AMBULANCE TRANSPORTS, LLC

Doing business as

Amistad Ambulance Transports, LLC

Practice address

3912 E Highway 90
Del Rio, TX 78840-8810

Phone

(877) 298-8796

NPI assigned

Jun 11, 2006

Last updated

Jan 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Arnoldo ChaconNPI 1033532155

Title

Director

Phone

(830) 298-9796

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Amistad Ambulance Transports, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Arnoldo N Chacon

  • Land Ambulance
  • Del Rio, TX
  • NPI 1033532155

  O20060911000221

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arnoldo N Chacon

  • Land Ambulance
  • Del Rio, TX
  • NPI 1033532155
  Authorized official Same address or phone

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1821030453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 E HIGHWAY 90",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788408810",
            "telephone_number": "830-298-9796",
            "fax_number": "830-298-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3912 E HIGHWAY 90",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788408810",
            "telephone_number": "877-298-8796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7038 Eckhert Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782381223",
            "country_code": "US",
            "telephone_number": "830-298-9796",
            "fax_number": "830-298-3040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMISTAD AMBULANCE TRANSPORTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "CHACON",
        "authorized_official_first_name": "ARNOLDO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "830-298-9796"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "800145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBULANCE SERVICE LICENSE",
            "identifier": "800145",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "AMB837",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amistad Ambulance Transports, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Del Rio, TX
• Providers in Del Rio, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.