| Organization Name: | AMERISTARR AMBULANCE L.L.C. |
| NPI Number: | 1164607941 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HUMBERTO TREVINO (DIRECTOR OF OPERATIONS) |
| Mailing Address: | 1639 E Hwy 83 Rio Grande City |
| State: | TX US |
| Postal Code: | 785824600 |
| Phone Number: | 9564878800 |
| Fax Number: | 9564878810 |
| NPI Enumeration Date: | 12/30/2007 |
| NPI Last Update Date: | 12/30/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 1000092 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |