Victory Ambulance Services LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1000489 Issued in TX

Legal business name

VICTORY AMBULANCE SERVICES LLC

Practice address

208 N Texas Blvd
Benavides, TX 78341

Phone

(361) 256-4000

NPI assigned

Sep 30, 2010

Last updated

Sep 30, 2010By 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

Juan A Garcia

Title

Director

Phone

(361) 256-4000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1942519434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 466",
            "city": "BENAVIDES",
            "state": "TX",
            "postal_code": "783410466",
            "telephone_number": "361-256-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N TEXAS BLVD",
            "city": "BENAVIDES",
            "state": "TX",
            "postal_code": "78341",
            "telephone_number": "361-256-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY AMBULANCE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "361-256-4000"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Action Council of South Texas (Chaparral Health Clinic)
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• Santa Fe Healthcare, Inc.
• Santa Fe Hospice LLC
• Noela Villarreal, FNP

• Land Ambulance in Benavides, TX
• Providers in Benavides, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.