Active NPI
Rico Aviation, LLC
- Air Ambulance
- Amarillo, TX
National Provider Identifier
1972528701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- License
- 191009
- Legal business name
- RICO AVIATION, LLC
- Practice address
- 2322 Lakeview
Amarillo, TX 79109 - Phone
- (806) 353-5563
- NPI assigned
- Jul 13, 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
- Mr. Richard Coon Jr.
- Title
- Owner
- Phone
- (806) 353-5563
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | 191009 | TX | Primary |
Addresses
Primary practice location
2322 Lakeview
Amarillo, TX 79109
Mailing address
2322 Lakeview
Amarillo, TX 79109
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3465261 | Other | TX | AETNA HMO |
| 528222 | Other | TX | BCBS |
| 7129543 | Other | TX | AETNA PPO/POS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040407001560 | TX | Part B Supplier - Ambulance Service Supplier | 9830182419 | Practice locations: Amarillo, TX |
National Provider Directory
National Provider DirectoryLocations
2322 Lakeview Dr
Amarillo, TX 79109
Phone (806) 331-7426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972528701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2322 LAKEVIEW",
"city": "AMARILLO",
"state": "TX",
"postal_code": "79109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2322 LAKEVIEW",
"city": "AMARILLO",
"state": "TX",
"postal_code": "79109",
"telephone_number": "806-353-5563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICO AVIATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COON",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "806-353-5563",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": "TX",
"license": "191009",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3465261",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "528222",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO/POS",
"identifier": "7129543",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.