Organization Active NPI

Lone Star Ambulance, Inc

  • Ambulance
  • San Antonio, TX
National Provider Identifier
1942201272
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

Updated by the provider on Aug 28, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000638901MedicaidTX

Other names 1

  • Lone Star Ambulance Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
O20091021000797 TX Part B Supplier - Ambulance Service Supplier 6204973381 Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.