Provider Demographics
NPI:1235130253
Name:NI TRAM AMBULANCE SERVICE, INC
Entity Type:Organization
Organization Name:NI TRAM AMBULANCE SERVICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTANEDA
Authorized Official - Suffix:
Authorized Official - Credentials:EMTP
Authorized Official - Phone:956-782-7754
Mailing Address - Street 1:BOX 872
Mailing Address - Street 2:
Mailing Address - City:MERCEDES
Mailing Address - State:TX
Mailing Address - Zip Code:78570-0872
Mailing Address - Country:US
Mailing Address - Phone:956-782-7754
Mailing Address - Fax:956-782-0720
Practice Address - Street 1:27988 BIXBY RD
Practice Address - Street 2:
Practice Address - City:LA FERIA
Practice Address - State:TX
Practice Address - Zip Code:78559-4303
Practice Address - Country:US
Practice Address - Phone:956-782-7754
Practice Address - Fax:956-797-6292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-02
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000646201Medicaid
TX000646201Medicaid