Active NPI
La Paloma EMS
- Land Ambulance
- Premont, TX
National Provider Identifier
1972680734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 3416L0300X1
- 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, 2010
- 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
- Ms. Sylvia Lyne Barrera-Wiginton, LEMT-P
- Title
- Ceo / EMS Director
- Phone
- (361) 348-2367
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000-5662-01 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI 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
- David Duque III, MAT, LAT, ATC
- Patricia Annette Galindo, M.S., CCC-SLP
- Hearts Delight Homecare LLC
- Sherri Hines, MS., LPC
- In Home Provider Services
- Pre Nursing and Rehabilitation, LP (Premont Nursing and Rehabilitation)
- Premont Isd
- Premont Nursing and Rehabilitation, LP
- Premont Nursing Home, Inc.
- Premont Rehab and Nursing Center, Inc (Premont Rehab and Nursing Center)
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.