Organization Active NPI

City of Perryton Ambulance Service

  • Land Ambulance
  • Perryton, TX
National Provider Identifier
1861535973
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF PERRYTON AMBULANCE SERVICE
Practice address
3101 Garrett Dr
Perryton, TX 79070-5323
Phone
(806) 435-3606
Fax
(806) 435-2067
NPI assigned
Feb 15, 2007
Last updated
Sep 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Authorized official

Name
Mr. Robert A. Pascasio
Title
Administrator/Ceo
Phone
(806) 648-7113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

3101 Garrett Dr
Perryton, TX 79070-5323

Mailing address

3101 Garrett Dr
Perryton, TX 79070-5323
Phone (806) 435-3606

Other identifiers 1

IdentifierTypeStateIssuer
086324301MedicaidTX

National Provider Directory

National Provider Directory

Locations

110 S Ash St
Perryton, TX 79070
Phone (806) 435-4014

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1861535973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 GARRETT DR",
            "city": "PERRYTON",
            "state": "TX",
            "postal_code": "790705323",
            "telephone_number": "806-435-3606",
            "fax_number": "806-435-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 GARRETT DR",
            "city": "PERRYTON",
            "state": "TX",
            "postal_code": "790705323",
            "telephone_number": "806-435-3606",
            "fax_number": "806-435-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PERRYTON AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "PASCASIO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "806-648-7113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086324301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perryton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.