Phelan EMS Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1000737 Issued in TX

Legal business name

PHELAN EMS INC

Practice address

5925 Phelan Blvd # I
Suite 160
Beaumont, TX 77706-6253

Phone

(646) 841-9077

Fax

(713) 771-5081

NPI assigned

Feb 15, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ayodele Sunmola

Title

President

Phone

(646) 841-9077

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1487927976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 PHELAN BLVD # I",
            "address_2": "SUITE 160",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066253",
            "telephone_number": "646-841-9077",
            "fax_number": "713-771-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 PHELAN BLVD # I",
            "address_2": "SUITE 160",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066253",
            "telephone_number": "646-841-9077",
            "fax_number": "713-771-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHELAN EMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "SUNMOLA",
        "authorized_official_first_name": "AYODELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-841-9077"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DSHS",
            "identifier": "1000737",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hoa Tuyet Phan, DDS
• Jackie Phan
• Matthew Phan, O.D.
• Pharmblue Texas LLC
• Phelan Dental Health Center PLLC
• Phelan Hearing Aid Inc
• Elizabeth L. Phelan, SPEECH PATHOLOGIST
• James Gordon Phelan, AUD
• Jennifer C Phelan, PA
• Phillip K. Leblanc

• Land Ambulance in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.