Provider Demographics
NPI:1033272869
Name:SAMUEL E BENSON III
Entity Type:Organization
Organization Name:SAMUEL E BENSON III
Other - Org Name:AAA AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:BENSON
Authorized Official - Suffix:III
Authorized Official - Credentials:EMT
Authorized Official - Phone:956-457-8343
Mailing Address - Street 1:2205 W JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-7244
Mailing Address - Country:US
Mailing Address - Phone:956-457-8343
Mailing Address - Fax:610-401-2101
Practice Address - Street 1:417 E CEDAR AVE
Practice Address - Street 2:STE I
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-8729
Practice Address - Country:US
Practice Address - Phone:956-457-8343
Practice Address - Fax:610-401-2101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX341600000X
3416A0800X, 3416S0300X, 343800000X, 343900000X, 344600000X, 347B00000X, 347C00000X, 347E00000X
TX8002183416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416A0800XTransportation ServicesAmbulanceAir Transport
No3416L0300XTransportation ServicesAmbulanceLand Transport
No3416S0300XTransportation ServicesAmbulanceWater Transport
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No347B00000XTransportation ServicesBus
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker