Organization Active NPI

Allen Ambulance Service, Inc.

  • Ambulance
  • San Antonio, TX
National Provider Identifier
1891732764
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
178044 Issued in TX
Legal business name
ALLEN AMBULANCE SERVICE, INC.
Practice address
10415 Perrin Beitel Rd
Suite 102
San Antonio, TX 78217-3104
Phone
(210) 681-0111
Fax
(210) 657-3202
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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

Authorized official

Name
Mr. Christopher S Willis
Title
Cfo
Phone
(210) 825-0425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 178044 TX Primary

Addresses

Primary practice location

10415 Perrin Beitel Rd
Suite 102
San Antonio, TX 78217-3104

Mailing address

11765 West Ave
#275
San Antonio, TX 78216-2559
Phone (210) 681-0111

Other identifiers 1

IdentifierTypeStateIssuer
160092601MedicaidTX

National Provider Directory

National Provider Directory

Locations

11765 West Ave
San Antonio, TX 78216

10415 Perrin Beitel Rd
Ste 115
San Antonio, TX 78217
Phone (210) 681-0111

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1891732764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11765 WEST AVE",
            "address_2": "#275",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162559",
            "telephone_number": "210-681-0111",
            "fax_number": "210-657-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10415 PERRIN BEITEL RD",
            "address_2": "SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173104",
            "telephone_number": "210-681-0111",
            "fax_number": "210-657-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "210-825-0425",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "178044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160092601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.