Lipan Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

111003 Issued in TX

Legal business name

LIPAN AMBULANCE SERVICE

Practice address

204 E Lipan Dr
Lipan, TX 76462-2206

Phone

(903) 473-0927

Fax

(832) 877-5040

NPI assigned

Jun 10, 2005

Organization subpart

No

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

Authorized official

Name

Mascha Taylor, REG MA

Title

Billing MGR

Phone

(903) 473-0927

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1760486351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "LIPAN",
            "state": "TX",
            "postal_code": "764620277",
            "telephone_number": "903-473-0927",
            "fax_number": "832-877-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E LIPAN DR",
            "city": "LIPAN",
            "state": "TX",
            "postal_code": "764622206",
            "telephone_number": "903-473-0927",
            "fax_number": "832-877-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIPAN AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MASCHA",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "903-473-0927",
        "authorized_official_credential": "REG MA"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "111003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TEXAS",
            "identifier": "504330",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140460001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Ryan Collier, M.S. CCC-SLP
• Deborah Cooper, CNA
• Sandra K Cottrell, LVN
• Lucinda Harwell
• Kris H Wusterhausen DO PA
• Karma Rena Loftin, PT
• Katilin Maurine Newsom
• Michelle E Pauli
• Ross Physical Therapy & Wellness LLC
• Traci S Ross, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.