Provider Demographics
NPI:1518451749
Name:UNITED MED CARE AMBULANCE
Entity Type:Organization
Organization Name:UNITED MED CARE AMBULANCE
Other - Org Name:UNITED MED CARE AMBULANCE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/SUPERVISOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:H
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-489-4444
Mailing Address - Street 1:9804 CANTERA CT UNIT 5
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-8186
Mailing Address - Country:US
Mailing Address - Phone:956-489-2444
Mailing Address - Fax:
Practice Address - Street 1:1110 DAVIS AVE
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78040
Practice Address - Country:US
Practice Address - Phone:956-489-2444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-20
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport