LONE STAR AMBULANCE 1, LLC (NPI# 1871724864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871724864 |
| Entity Type | Organization |
| Organization Name | LONE STAR AMBULANCE 1, LLC |
| Other Organization Name | ALLEGIANCE AMBULANCE |
| Practice Address |
3201 S Austin Ave Ste 335 Georgetown TX 78626-7643 |
| Mailing Address |
Po Box 2775 Georgetown TX 78627-2775 |
| Practice Telephone | 8555767450 |
| Practice Fax Number | 5128691633 |
| Mailing Telephone | 2549352424 |
| Mailing Fax Number | 2549352457 |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2019-03-04 |
| Authorized Official Name | RICKY POWELL (PRESIDENT) |
| Authorized Official Telephone | 8555767450 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
1000327 | TX | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE PTAN | AMB906 | 01 |
| Other Name | Type Code |
|---|---|
| Allegiance Ambulance | Doing Business As Name - Organization |
| Street Address |
3201 S AUSTIN AVE STE 335 |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78626-7643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932603230 | Danietra Mcgrue | Home Health Aide | 108 Blue Waterleaf Ln, Georgetown, TX 78626 | 2018-03-21 |
| 1588175673 | Kristin Marie Alaniz | Nurse Practitioner | 2112 Sw H K Dodgen Loop, Suite 110, Georgetown, TX 78626 | 2017-10-17 |
| 1669865275 | Stephen Harris | Counselor | 101 W Cooperative Way Ste 100, Georgetown, TX 78626 | 2015-03-07 |
| 1356739080 | Craig Crossman | Physical Therapy Assistant | 705 E 13th St, Georgetown, TX 78626 | 2015-01-05 |
| 1679977318 | Nancy Krenek | Physical Therapist | 2050 Rockride Ln., Georgetown, TX 78626 | 2014-10-09 |
| 1275956807 | Georgetown Behavioral Health Institute, LLC | Psychiatric Hospital | 3101 S. Austin Avenue, Georgetown, TX 78626 | 2014-02-03 |
| 1184056954 | Rock Springs, LLC | Psychiatric Hospital | 700 Southeast Inner Loop, Georgetown, TX 78626 | 2013-08-05 |
| 1447691936 | Brandon Michael Hoffman | Dentist | 1821 Westinghouse Road, Suite 1130, Georgetown, TX 78626 | 2013-07-11 |
| 1235422932 | Erica Marie Edgington | Nurse Anesthetist, Certified Registered | Westlake Anesthesia Group, Pa, 1004 South Rock Street, Georgetown, TX 78626 | 2011-05-27 |
| 1356570907 | Grace Salone | Optometrist | 950 W University Ave Ste 108, Georgetown, TX 78626 | 2009-07-03 |
| Find all providers in zip 78626 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265808430 | City of Georgetown | Ambulance | 3500 D B Wood Rd, Georgetown, TX 78628-7222 | 2015-08-11 |
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| 1356613137 | Blackbird Enterprises, LLC | Ambulance | 422 Champions Dr, Georgetown, TX 78628-1184 | 2012-02-08 |
| 1225099534 | Georgetown-scott County Ambulance Service | Ambulance | 141 South Broadway Street, Georgetown, KY 40324 | 2006-03-29 |
| 1073513206 | Georgetown Volunteer Life Squad Association | Ambulance | 821 Mt. Orab Pike, Georgetown, OH 45121 | 2005-07-29 |
| 1033458385 | Dpar Roadrunner LLC, Dba Allegiance Ambulance | Ambulance | 501 S Austin Ave, Suite 1310, Georgetown, TX 78626-5637 | 2013-02-06 |
| 1306986104 | Sussex Post 8 American Legion Georgetown Ambulance Serv | Ambulance | 406 N Front St, Georgetown, DE 19947-1134 | 2007-02-08 |
| 1750431979 | Georgetown Fire Protection District Ambulance Service | Ambulance | 211 S Main St, Georgetown, IL 61846-1855 | 2007-01-11 |
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| 1790327765 | Gonzales County Emergency Services District 1 | Ambulance | 305 Qualls Street, Gonzales, TX 78629 | 2019-10-11 |
| Find all providers with the same taxonomy | ||||
| City | GEORGETOWN |
| Zip Code | 78626 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.