Organization Active NPI

Empact Ambulance Service Inc

  • Land Ambulance
  • Smyrna, TN
National Provider Identifier
1750514196
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
EMPACT AMBULANCE SERVICE INC
Practice address
109 Threet Industrial Rd
Suite 7
Smyrna, TN 37167-6842
Phone
(615) 223-5995
Fax
(615) 223-5651
NPI assigned
Sep 2, 2009
Last updated
May 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Authorized official

Name
Patrick O'Neill
Title
Managing Partner
Phone
(615) 971-0663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

109 Threet Industrial Rd
Suite 7
Smyrna, TN 37167-6842

Mailing address

PO Box 788
Smyrna, TN 37167-0788
Phone (615) 223-5995

Other identifiers 1

IdentifierTypeStateIssuer
1517864MedicaidTN

National Provider Directory

National Provider Directory

Locations

109 Threet Industrial Rd
Ste 7
Smyrna, TN 37167
Phone (615) 223-5995

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1750514196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371670788",
            "telephone_number": "615-223-5995",
            "fax_number": "615-223-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 THREET INDUSTRIAL RD",
            "address_2": "SUITE 7",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676842",
            "telephone_number": "615-223-5995",
            "fax_number": "615-223-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPACT AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "615-971-0663"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517864",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.