Provider Demographics
NPI:1407883473
Name:ST. MICHAEL'S AMBULANCE,LLC
Entity Type:Organization
Organization Name:ST. MICHAEL'S AMBULANCE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:CASON
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:956-867-1871
Mailing Address - Street 1:2207 JEWEL CIR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-6240
Mailing Address - Country:US
Mailing Address - Phone:956-867-1871
Mailing Address - Fax:956-664-9906
Practice Address - Street 1:401 W. U.S. BUS. 83
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501
Practice Address - Country:US
Practice Address - Phone:956-867-1871
Practice Address - Fax:956-664-9906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance