Provider Demographics
NPI:1649565383
Name:CP AMBULANCE SERVICES LLC
Entity type:Organization
Organization Name:CP AMBULANCE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWER
Authorized Official - Prefix:
Authorized Official - First Name:CECIL
Authorized Official - Middle Name:B
Authorized Official - Last Name:PARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-384-2049
Mailing Address - Street 1:PO BOX 824
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:TX
Mailing Address - Zip Code:75951-0036
Mailing Address - Country:US
Mailing Address - Phone:409-384-2049
Mailing Address - Fax:409-356-4022
Practice Address - Street 1:1108 E GIBSON ST
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:TX
Practice Address - Zip Code:75951-5241
Practice Address - Country:US
Practice Address - Phone:409-384-2049
Practice Address - Fax:409-356-4022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-10
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000638341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance