Superior Ambulance

Primary specialty

AmbulanceTaxonomy code 341600000X

License

068002 Issued in TX

Legal business name

SUPERIOR AMBULANCE

Practice address

2401 Kermit Hwy
Odessa, TX 79761-1142

Phone

(432) 580-4312

Fax

(432) 580-4496

NPI assigned

Sep 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Gary Roberts

Title

Owner

Phone

(432) 580-4312

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902890486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 KERMIT HWY",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797611142",
            "telephone_number": "432-580-4312",
            "fax_number": "432-580-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 KERMIT HWY",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797611142",
            "telephone_number": "432-580-4312",
            "fax_number": "432-580-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-580-4312",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "068002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.