Impact Specialized Transport

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

22469655 Issued in WV

Legal business name

IMPACT SPECIALIZED TRANSPORT

Practice address

1646 Eastwood Dr
Kannapolis, NC 28083-6028

Phone

(704) 707-5311

NPI assigned

Dec 2, 2010

Last updated

Dec 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jerry Wayne Swan

Title

Ceo

Phone

(704) 707-5311

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1982906558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 EASTWOOD DR",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280836028",
            "telephone_number": "704-707-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 EASTWOOD DR",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280836028",
            "telephone_number": "704-707-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT SPECIALIZED TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-707-5311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WV",
            "license": "22469655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Carol Huneycutt, NP
• James Sidney Hunter, D.D.S.
• Kristie E. Huntley
• Lora Hurley, N.D., CTN
• Impact
• Imperial Health Services LLC
• Kaya Inamdar, BCBA
• Independent Nephrology Services, Inc. (INS - Cabarrus County)
• Indycare Medical North Carolina (IndyCare Hillsborough)
• Inpatient Consultants of North Carolina, PC

• Non-emergency Medical Transport (VAN) in Kannapolis, NC
• Providers in Kannapolis, NC by specialty
• Non-emergency Medical Transport (VAN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.