Impel Ambulance Service, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

IMPEL AMBULANCE SERVICE, INC

Practice address

521 N 1St St
Longview, TX 75601-6434

Phone

(430) 625-7050

Fax

(430) 625-7050

NPI assigned

Apr 10, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Alicia D Watkins

Title

Ceo

Phone

(903) 918-4771

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1689017592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6607",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757116607",
            "telephone_number": "430-625-7050",
            "fax_number": "430-625-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N 1ST ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016434",
            "telephone_number": "430-625-7050",
            "fax_number": "430-625-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPEL AMBULANCE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-918-4771",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.