MEDICARE: ST. CHRISTINA'S MEDICAL RESPONSE LLC

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	341600000X	Ambulance

General Provider Information

NPI Number	:	1083509590
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST. CHRISTINA'S MEDICAL RESPONSE LLC

Provider Business Mailing Address
First Line	:	13311 LAKEVIEW MEADOW DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-9255
Country	:	US
Telephone Number	:	423-557-4034
Fax Number	:

Provider Business Practice Location Address
First Line	:	13311 LAKEVIEW MEADOW DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-9255
Country	:	US
Telephone Number	:	423-557-4034
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	ASHLEY GALVIN
Credential	:
Telephone Number	:	423-557-4034

Provider Enumeration Date	:	06/12/2025
Last Update Date	:	12/16/2025

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