MEDICARE: RIO VALLEY EMERGENCY MEDICAL SERVICE

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	108053	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	:	1649359563
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIO VALLEY EMERGENCY MEDICAL SERVICE

Provider Business Mailing Address
First Line	:	2801 E PIKE BLVD
Second Line	:
City	:	WESLACO
State	:	TX
Zip	:	78596-9006
Country	:	US
Telephone Number	:	956-968-7964
Fax Number	:	956-973-2380

Provider Business Practice Location Address
First Line	:	5130 NORTH MILE 3 1/2 WEST
Second Line	:
City	:	WESLACO
State	:	TX
Zip	:	78599-9006
Country	:	US
Telephone Number	:	956-968-7964
Fax Number	:

Authorized Official
Title or Position	:	OWNER / ADMINISTRATOR
Name	:	MRS. HORTENCIA GARCIA
Credential	:
Telephone Number	:	956-968-7964

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	12/16/2016

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Directions to “RIO VALLEY EMERGENCY MEDICAL SERVICE ” Practice Location

Language	Start Address	Practice Location

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