Provider Demographics
NPI:1881354066
Name:IMPACT MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:IMPACT MEDICAL SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CURRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-677-1510
Mailing Address - Street 1:1001 NW VESPER ST
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64015-3667
Mailing Address - Country:US
Mailing Address - Phone:573-673-1510
Mailing Address - Fax:866-229-0034
Practice Address - Street 1:4150 INTERNATIONAL PLZ STE 560
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-4842
Practice Address - Country:US
Practice Address - Phone:573-673-1510
Practice Address - Fax:866-229-0034
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IMPACT MEDICAL SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-29
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies