Active NPI
Willacy County EMS,Inc.
- Land Ambulance
- Raymondville, TX
National Provider Identifier
1992778492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 245001
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0864076-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100202000821 | TX | Part B Supplier - Ambulance Service Supplier | 7012050859 | Practice locations: Raymondville, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1028520 | Willacy County EMS | Certificate of waiver | Aug 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.