GOOD SHEPHERD MEDICAL CENTER NPI 1558446419

NPI Information

NPI: 1558446419
Provider Name: GOOD SHEPHERD MEDICAL CENTER

Doing Business As: CHAMPION EMS

Classification: Ambulance - 341600000X
Entity Type: Organization
Address:
700 E MARSHALL AVE
LONGVIEW, TX
ZIP 75601
Phone: (903) 315-2000
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GOOD SHEPHERD MEDICAL CENTER is an ambulance in Longview, TX. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). GOOD SHEPHERD MEDICAL CENTER NPI is 1558446419. The provider is registered as an organization entity type.
The provider Is Doing Business As Champion Ems.

The provider's business location address is:

700 E MARSHALL AVE
LONGVIEW, TX
ZIP 75601-580
Phone: (903) 315-2000

The provider's authorized official is Edward Banos .
The authorized official title is Ceo and has the following contact phone number (903) 315-2000.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 2/8/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	3416L0300X	Ambulance	Land Transport	TEXAS	No
2	343800000X	Secured Medical Transport (VAN)		TEXAS	No
3	343900000X	Non-emergency Medical Transport (VAN)		TEXAS	No
4	341600000X	Ambulance		TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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