Intercity Ambulance for Emergency Medical Transport LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1000631 Issued in TX

Legal business name

INTERCITY AMBULANCE FOR EMERGENCY MEDICAL TRANSPORT LLC

Practice address

5702 Bogart Dr
Edinburg, TX 78542-1558

Phone

(956) 407-7744

NPI assigned

Jun 2, 2011

Last updated

Mar 7, 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

Mr. Salvador A Robles, PRESIDENT

Title

Authorized Official

Phone

(956) 407-7744

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1922392406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5702 BOGART DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785421558",
            "telephone_number": "956-407-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5702 BOGART DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785421558",
            "telephone_number": "956-407-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERCITY AMBULANCE FOR EMERGENCY MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ROBLES",
        "authorized_official_first_name": "SALVADOR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "956-407-7744",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "1000631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283981301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.