MEDICARE: CITY OF LAREDO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	240004	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255396156
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF LAREDO

Provider Business Mailing Address
First Line	:	PO BOX 579
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78042-0579
Country	:	US
Telephone Number	:	956-795-2153
Fax Number	:	956-795-2163

Provider Business Practice Location Address
First Line	:	1 GUADALUPE ST
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78040-5167
Country	:	US
Telephone Number	:	956-795-4931
Fax Number	:	956-726-2632

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	GUILLERMO HEARD
Credential	:
Telephone Number	:	956-728-8255

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	03/18/2025

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Directions to “CITY OF LAREDO ” Practice Location

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