Provider Demographics
NPI:1427177260
Name:NC AMBULANCE SERVICE
Entity type:Organization
Organization Name:NC AMBULANCE SERVICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-239-0188
Mailing Address - Street 1:801 E FERN AVE
Mailing Address - Street 2:SUITE 129
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-1496
Mailing Address - Country:US
Mailing Address - Phone:956-631-4898
Mailing Address - Fax:956-994-9332
Practice Address - Street 1:10112 HUEBNER RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1319
Practice Address - Country:US
Practice Address - Phone:210-641-2900
Practice Address - Fax:210-641-2912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX999997341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance