# AMERITECH MOBILE MEDICAL SYSTEMS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AMERITECH AMBULANCE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114968963
- **Authorized official:** RHON ROMMER (ADMINISTRATOR)
- **Authorized official phone:** (817) 540-6669

## Contact information

- **Practice address:** 1010 VILLA DR, STE. 101, EULESS, TX 76040-4249
- **Practice address phone:** (817) 540-6669
- **Practice address fax:** (817) 545-0554
- **Mailing address:** 1010 VILLA DR, STE. 101, EULESS, TX 76040-4249
- **Mailing address phone:** (817) 540-6669
- **Mailing address fax:** (817) 545-0554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 300093 | TX | Yes |
| 3416L0300X | Land Ambulance | 300093 | TX | — |
| 343900000X | Non-emergency Medical Transport (VAN) | 300093 | TX | — |

## Other

- **Enumeration date:** 06/10/2006
- **Last updated:** 07/01/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000613201 | — | TX |
| 05 | — | 10020741 | — | TX |
| 01 | — | 590012033 | RAILROAD MEDICARE | TX |