Organization Active NPI

Permian Basin Ambulance Inc.

  • Ambulance
  • Odessa, TX
National Provider Identifier
1780609511
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
PERMIAN BASIN AMBULANCE INC.
Practice address
3711 Brazos Ave
Odessa, TX 79764-6521
Phone
(432) 550-9410
Fax
(432) 550-9400
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Authorized official

Name
Krisenda K Criswell, EMT-P
Title
Operations Manager
Phone
(432) 550-9410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

3711 Brazos Ave
Odessa, TX 79764-6521

Mailing address

3711 Brazos Ave
Odessa, TX 79764-6521
Phone (432) 550-9410

National Provider Directory

National Provider Directory

Locations

3711 Brazos Ave
Odessa, TX 79764
Phone (432) 550-9410

808 Tower Dr
Ste 9
Odessa, TX 79761
Phone (432) 550-9410

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1780609511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 BRAZOS AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797646521",
            "telephone_number": "432-550-9410",
            "fax_number": "432-550-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 BRAZOS AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797646521",
            "telephone_number": "432-550-9410",
            "fax_number": "432-550-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERMIAN BASIN AMBULANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "CRISWELL",
        "authorized_official_first_name": "KRISENDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "432-550-9410",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.