Organization
COASTLINE AMBULANCE SERVICE, LLC
Active
Other names
Coastline Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
OSCAR RAMIREZ EMT-P (MANAGING MEMBER)
(361) 723-1993
Entity
Organization
Contact information
Practice address
4455 S PADRE ISLAND DR, STE 21A, CORPUS CHRISTI, TX 78411-5101
(361) 723-1993
(361) 723-1994
Mailing address
PO BOX 7899, CORPUS CHRISTI, TX 78467-7899
(361) 723-1993
(361) 723-1994
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1000209
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199308101
—
TX
Enumeration date
12/11/2008
Last updated
04/02/2009
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