Organization Active NPI

Lone Star Ambulance 1, LLC

  • Land Ambulance
  • Corpus Christi, TX
National Provider Identifier
1871724864
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1000327 Issued in TX
Legal business name
LONE STAR AMBULANCE 1, LLC
Practice address
500 N Shoreline Blvd Ste 906
Corpus Christi, TX 78401-0399
Phone
(855) 576-7450
Fax
(512) 869-1633
NPI assigned
Aug 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Authorized official

Name
David Lee
Title
Ceo
Phone
(855) 576-7450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1000327 TX Primary

Addresses

Primary practice location

500 N Shoreline Blvd Ste 906
Corpus Christi, TX 78401-0399

Mailing address

PO Box 2775
Georgetown, TX 78627-2775
Phone (254) 935-2424

Other identifiers 1

IdentifierTypeStateIssuer
AMB906OtherTXMEDICARE PTAN

Other names 1

  • Allegiance Ambulance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091105000597 TX Part B Supplier - Ambulance Service Supplier 7810035185 Practice locations: Livingston, TX; Lufkin, TX; Mico, TX; Nacogdoches, TX; North Richland Hills, TX; Odem, TX; Onalaska, TX; Orange Grove, TX…

National Provider Directory

National Provider Directory

Locations (25 of 46)

601 E 3rd St
Alice, TX 78332

171 Medical Center Blvd
Alice, TX 78332

5550 Eastex Fwy
Ste H
Beaumont, TX 77708
Phone (409) 600-4060

1501 4th St
Brownwood, TX 76801
Phone (325) 643-4840

540 E Commerce St
Buffalo, TX 75831

1724 Ball Park Rd
Carthage, TX 75633

800 Madrid St
Castroville, TX 78009
Phone (830) 931-2777

1466 Loop 500 E
Center, TX 75935

7733 FM 1010 Rd
Cleveland, TX 77327

20 Hill Ave
Coldspring, TX 77331

301 George Strake Blvd
Conroe, TX 77304
Phone (800) 326-6936

10812 House Rd
Conroe, TX 77304

500 N Shoreline Blvd
Ste 906
Corpus Christi, TX 78401
Phone (855) 576-7450

1702 N Lexington Blvd
Corpus Christi, TX 78409

1959 Saratoga Blvd
Bldg 20
Corpus Christi, TX 78417
Phone (361) 317-2753

9186 S Hampton Rd
Dallas, TX 75232

298 E Clayton St
Dayton, TX 77535

2400 Worthington Dr
Denton, TX 76207

509 Early Blvd
Early, TX 76802

2326 E Freddy Gonzalez Dr
Edinburg, TX 78542

601 S 10th Ave
Edinburg, TX 78539
Phone (956) 381-1898

1300 S St Marys St
#C
Falfurrias, TX 78355

5510 E US Highway 82
Gainesville, TX 76240

3201 S Austin Ave
Ste 335
Georgetown, TX 78626
Phone (737) 444-8408

2011 Sycamore Ave
Huntsville, TX 77340

NPI Registry JSON

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1871724864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2775",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786272775",
            "telephone_number": "254-935-2424",
            "fax_number": "254-935-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N SHORELINE BLVD STE 906",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784010399",
            "telephone_number": "855-576-7450",
            "fax_number": "512-869-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR AMBULANCE 1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-07",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-576-7450"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AMB906",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allegiance Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allegiance Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.