Active NPI
City of Port Isabel
- Land Ambulance
- Port Isabel, TX
National Provider Identifier
1902827108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 031004
- Legal business name
- CITY OF PORT ISABEL
- Practice address
- 110 W Hickman Ave
Port Isabel, TX 78578-2906 - Phone
- (956) 943-2682
- Fax
- (956) 943-2029
- NPI assigned
- Jul 22, 2006
- 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
- Pete Capistran
- Title
- Finance Director
- Phone
- (956) 943-2682
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 031004 | TX | Primary |
Addresses
Primary practice location
110 W Hickman Ave
Port Isabel, TX 78578-2906
Mailing address
110 W Hickman Ave
Port Isabel, TX 78578-2906
Phone (956) 943-2682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100920000796 | TX | Part B Supplier - Ambulance Service Supplier | 3375668957 | Practice locations: Port Isabel, TX |
National Provider Directory
National Provider DirectoryLocations
305 E Maxan St
Port Isabel, TX 78578
Phone (956) 943-7829
110 W Hickman Ave
Port Isabel, TX 78578
Phone (956) 943-2682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204761600000",
"number": "1902827108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W HICKMAN AVE",
"city": "PORT ISABEL",
"state": "TX",
"postal_code": "785782906",
"telephone_number": "956-943-2682",
"fax_number": "956-943-2029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W HICKMAN AVE",
"city": "PORT ISABEL",
"state": "TX",
"postal_code": "785782906",
"telephone_number": "956-943-2682",
"fax_number": "956-943-2029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF PORT ISABEL",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2008-03-06",
"status": "A",
"authorized_official_last_name": "CAPISTRAN",
"authorized_official_first_name": "PETE",
"authorized_official_title_or_position": "FINANCE DIRECTOR",
"authorized_official_telephone_number": "956-943-2682"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TX",
"license": "031004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Isabel, TX
- Brownsville Community Health Clinic Corporation
- Cascos Counseling Institute, PLLC
- Havannah Marcela Cascos, LPC
- Margarita Cristina Cavazos, PHARM.D.
- Champion Medical Inc.
- Randy Cortez, M.A., PHLEBOTOMY TEC
- James Michael Deloach, RPH
- Family Care Specialists
- Donald George Fischer
- Anthony John Flaig, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.