Organization Active NPI

La Paloma EMS

  • Land Ambulance
  • Premont, TX
National Provider Identifier
1972680734
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3416L0300X1 Issued in TX
Legal business name
LA PALOMA EMS
Practice address
145 NW First St
Premont, TX 78375-1290
Phone
(361) 348-2367
Fax
(361) 348-2547
NPI assigned
Nov 1, 2006
Last updated
May 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Sylvia Lyne Barrera-Wiginton, LEMT-P
Title
Ceo / EMS Director
Phone
(361) 348-2367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 3416L0300X1 TX Primary

Addresses

Primary practice location

145 NW First St
Premont, TX 78375-1290

Mailing address

PO Box 1290
145 NW First St
Premont, TX 78375-1290
Phone (361) 348-2367

Other identifiers 1

IdentifierTypeStateIssuer
000-5662-01MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1972680734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1290",
            "address_2": "145 NW FIRST ST",
            "city": "PREMONT",
            "state": "TX",
            "postal_code": "783751290",
            "telephone_number": "361-348-2367",
            "fax_number": "361-348-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 NW FIRST ST",
            "city": "PREMONT",
            "state": "TX",
            "postal_code": "783751290",
            "telephone_number": "361-348-2367",
            "fax_number": "361-348-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PALOMA EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "BARRERA-WIGINTON",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "LYNE",
        "authorized_official_title_or_position": "CEO / EMS DIRECTOR",
        "authorized_official_telephone_number": "361-348-2367",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LEMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "3416L0300X1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000-5662-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Premont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.