Active NPI
S P Acquisition Center
Doing business as Grandview Ambulance Service
- Ambulance
- Jasper, TN
National Provider Identifier
1639472855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 1234567
- Legal business name
- S P ACQUISITION CENTER
- Doing business as
- Grandview Ambulance Service
- Practice address
- 1000 Highway 28
Jasper, TN 37347-3638 - Phone
- (423) 837-9500
- Fax
- (423) 837-3230
- NPI assigned
- Dec 9, 2010
- Last updated
- Feb 18, 2011
- Organization subpart
- Yes
- Parent organization
- S P ACQUISITION CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rodney Vandonkelaar
- Title
- Cfo
- Phone
- (615) 764-3048
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1234567 | TN | Primary |
Addresses
Primary practice location
1000 Highway 28
Jasper, TN 37347-3638
Mailing address
PO Box 9150
Paducah, KY 42002-9150
Phone (270) 744-9600
Other names 1
- GRANDVIEW AMBULANCE SERVICE
National Provider Directory
National Provider Directory- Part of
- SP Acquisition Corporat
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297987200000",
"number": "1639472855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9150",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420029150",
"telephone_number": "270-744-9600",
"fax_number": "270-744-0834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HIGHWAY 28",
"city": "JASPER",
"state": "TN",
"postal_code": "373473638",
"telephone_number": "423-837-9500",
"fax_number": "423-837-3230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S P ACQUISITION CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "S P ACQUISITION CENTER",
"enumeration_date": "2010-12-09",
"last_updated": "2011-02-18",
"status": "A",
"authorized_official_last_name": "VANDONKELAAR",
"authorized_official_first_name": "RODNEY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "615-764-3048",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "TN",
"license": "1234567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "GRANDVIEW AMBULANCE SERVICE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jasper, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.