MTA AMBULANCE SERVICE OF LUBBOCK, LLC (NPI# 1245338664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245338664 |
| Entity Type | Organization |
| Organization Name | MTA AMBULANCE SERVICE OF LUBBOCK, LLC |
| Other Organization Name | MED-TECH AMBULANCE OF LUBBOCK |
| Practice Address |
4523 Highway 84 Lubbock TX 79416-9609 |
| Practice Telephone | 8067474873 |
| Practice Fax Number | 8067474871 |
| Mailing Telephone | 8067474873 |
| Mailing Fax Number | 8067474871 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TRAVIS MCGUIRE OVERTON (GENERAL MANAGER) |
| Authorized Official Telephone | 8067474873 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
800086 | TX | Transportation Services |
| Other Name | Type Code |
|---|---|
| Med-Tech Ambulance of Lubbock | Doing Business As Name - Organization |
| Street Address |
4523 HIGHWAY 84 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79416-9609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502174 | Jordan Lane Thompson | Pharmacist | 6313 4th Street, Lubbock, TX 79416 | 2020-06-11 |
| 1821636481 | Chieh-an Chou | Specialist/Technologist | 201 N Winston Ave, Lubbock, TX 79416 | 2019-12-13 |
| 1790341949 | Michael Mcpherson, M.d. P.a. | Internal Medicine | 5406 Colgate St, Lubbock, TX 79416 | 2019-05-14 |
| 1154893675 | South Plains Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5406 Colgate Street, Lubbock, TX 79416 | 2018-12-21 |
| 1932697182 | Timothy Sampana | Student in an Organized Health Care Education/Training Program | 5217 Lehigh St, Lubbock, TX 79416 | 2018-04-24 |
| 1306347711 | 4th Street Dental, Pllc | Dentist | 5709 4th St, Lubbock, TX 79416 | 2018-02-22 |
| 1639682503 | South Plains Surgery Center LLC | Clinic/Center | 4412 6th Street, Lubbock, TX 79416 | 2017-11-14 |
| 1013459809 | Isabel Garcia | Occupational Therapy Assistant | 1717 Northfolk Ave, #a, Lubbock, TX 79416 | 2016-11-09 |
| 1033589213 | Rehab Care | Skilled Nursing Facility | 1717 Norfork Ave, Bldg A, Lubbock, TX 79416 | 2015-10-01 |
| 1902281306 | Carrillon | Clinic/Center | 1717 Norfold Bld A, Lubbock, TX 79416 | 2015-07-27 |
| Find all providers in zip 79416 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720542632 | Covenant Health System | Ambulance | 4014 22nd Pl Ste 11, Lubbock, TX 79410-1127 | 2019-01-24 |
| 1316995194 | Ambulance Corporation | Ambulance | 2743 34th St, Lubbock, TX 79410-3521 | 2006-05-04 |
| 1548667132 | Med-trans Corporation | Ambulance | 6006 N Cedar Ave, Lubbock, TX 79403-6800 | 2014-11-25 |
| 1619197696 | Covenant Health System | Ambulance | 3615 19th St, Lubbock, TX 79410-1203 | 2007-05-01 |
| 1174620546 | Lubbock County Hospital District | Ambulance | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2006-09-20 |
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| 1033754650 | Care Ems Inc | Ambulance | 2440 Texas Pkwy Ste 340e, Missouri City, TX 77489-4073 | 2019-11-07 |
| 1790327765 | Gonzales County Emergency Services District 1 | Ambulance | 305 Qualls Street, Gonzales, TX 78629 | 2019-10-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.