City of Odessa

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

068001 Issued in TX

Legal business name

CITY OF ODESSA

Doing business as

City of Odessa Ambulance Service

Practice address

411 E 8TH St
Odessa, TX 79761-4521

Phone

(432) 335-4129

Fax

(432) 335-3231

NPI assigned

Jun 9, 2005

Last updated

Oct 7, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

CITY OF ODESSAAs reported in NPPES

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

Authorized official

Name

Rogelio Salcido

Title

Director Billing and Collection

Phone

(432) 335-3210

Specialties & licenses 1

Addresses

Other names 1

• City of Odessa Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Part of

City of Odessa

Locations

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1801890637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4398",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797604398",
            "telephone_number": "432-335-4129",
            "fax_number": "432-335-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E 8TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614521",
            "telephone_number": "432-335-4129",
            "fax_number": "432-335-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ODESSA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF ODESSA",
        "enumeration_date": "2005-06-09",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "SALCIDO",
        "authorized_official_first_name": "ROGELIO",
        "authorized_official_title_or_position": "DIRECTOR BILLING AND COLLECTION",
        "authorized_official_telephone_number": "432-335-3210"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "068001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Odessa Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Marie Christian, MA, LPC-S, LCDC
• Tracy Onyinye Chukwu, M.D
• Obinna Victor Chukwuma, MBBS
• Cheolwon Chung, DMD
• Cibolo Park Healthcare LLC (Parks Assisted Living Center)
• Clark Chiropractic Clinic
• Roger Dale Clark, HIS
• Virginia Gayle Clark, LPC
• Travis Clemmer, P.T.A.
• Courtney Clubb, MSN-FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.