Active NPI
Lone Star Ambulance, Inc
- Ambulance
- San Antonio, TX
National Provider Identifier
1942201272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- LONE STAR AMBULANCE, INC
- Practice address
- 3700 Fredericksburg Rd Ste 139
San Antonio, TX 78201-3268 - Phone
- (210) 236-9055
- Fax
- (210) 881-6804
- NPI assigned
- Aug 9, 2005
- 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
- Valerie Jo Cauthen
- Title
- Director
- Phone
- (409) 832-0272
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
3700 Fredericksburg Rd Ste 139
San Antonio, TX 78201-3268
Mailing address
PO Box 787
Port Neches, TX 77651-0787
Phone (409) 832-0272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000638901 | Medicaid | TX |
Other names 1
- Lone Star Ambulance
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lisa.rinebold@synergy-billing.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091021000797 | TX | Part B Supplier - Ambulance Service Supplier | 6204973381 | Practice locations: San Antonio, TX |
National Provider Directory
National Provider DirectoryLocations
3537 W Miller Rd
Garland, TX 75041
Phone (214) 348-0174
1811 Wall St
Garland, TX 75041
Phone (972) 624-0500
3700 Fredericksburg Rd
Ste 131
San Antonio, TX 78201
Phone (210) 236-9055
3700 Fredericksburg Rd
Ste 139
San Antonio, TX 78201
Phone (210) 236-9055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724803200000",
"number": "1942201272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 787",
"city": "PORT NECHES",
"state": "TX",
"postal_code": "776510787",
"telephone_number": "409-832-0272",
"fax_number": "866-206-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 FREDERICKSBURG RD STE 139",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782013268",
"telephone_number": "210-236-9055",
"fax_number": "210-881-6804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONE STAR AMBULANCE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-09",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A",
"authorized_official_last_name": "CAUTHEN",
"authorized_official_first_name": "VALERIE",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "409-832-0272"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000638901",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lisa.rinebold@synergy-billing.com",
"affiliation": "N",
"address_1": "3700 Fredericksburg Rd Ste 139",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782013268",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Lone Star Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 28, 2024; 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.