Organization Active NPI

Willacy County EMS,Inc.

  • Land Ambulance
  • Raymondville, TX
National Provider Identifier
1992778492
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
245001 Issued in TX
Legal business name
WILLACY COUNTY EMS,INC.
Practice address
693 S. 7TH St
Raymondville, TX 78580-3001
Phone
(956) 689-5456
Fax
(956) 689-6341
NPI assigned
Feb 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Authorized official

Name
Mr. Frank Torres
Title
EMS Director
Phone
(956) 689-5456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 245001 TX Primary

Addresses

Primary practice location

693 S. 7TH St
Raymondville, TX 78580-3001

Mailing address

PO Box 2109
San Benito, TX 78586-0055
Phone (855) 626-9660

Other identifiers 1

IdentifierTypeStateIssuer
0864076-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100202000821 TX Part B Supplier - Ambulance Service Supplier 7012050859 Practice locations: Raymondville, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1028520Willacy County EMS693 South 7TH Street, Raymondville, TX 78580Certificate of waiverAug 6, 2027

National Provider Directory

National Provider Directory

Locations

347 E Hidalgo Ave
Raymondville, TX 78580

693 S 7th St
Raymondville, TX 78580
Phone (956) 689-5456

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1992778492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2109",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785860055",
            "telephone_number": "855-626-9660",
            "fax_number": "833-953-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 S. 7TH ST",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785803001",
            "telephone_number": "956-689-5456",
            "fax_number": "956-689-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLACY COUNTY EMS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "956-689-5456",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "245001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0864076-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymondville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.