TUCKERMAN VOLUNTEER AMBULANCE SERVICE (NPI# 1053896407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053896407 |
| Entity Type | Organization |
| Organization Name | TUCKERMAN VOLUNTEER AMBULANCE SERVICE |
| Practice Address |
201 W Main Tuckerman AR 72473-9362 |
| Mailing Address |
Po Box 641880 Omaha NE 68164-7880 |
| Practice Telephone | 8703495212 |
| Mailing Telephone | 4029917866 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |
| Authorized Official Name | BARBARA A VAUGHN (AGENT- OFFICIAL) |
| Authorized Official Telephone | 4029917866 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| Street Address |
201 W MAIN |
| City | TUCKERMAN |
| State | AR |
| Zip Code | 72473-9362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891101580 | White River Health System, Inc. | Clinic/Center | 102 Elm St., Tuckerman, AR 72473 | 2014-07-02 |
| 1407917479 | Jackson County School District | Local Education Agency (LEA) | 300 Dowell Avenue, Tuckerman, AR 72473 | 2006-12-13 |
| 1366550626 | City Drug Store | Pharmacy | 101 103 Hwy 67 N, Tuckerman, AR 72473 | 2006-08-28 |
| 1538654538 | Megan A Bennett | Nurse Practitioner | 4802 E Johnson Ave, Jonesboro, AR 72473 | 2018-06-22 |
| 1275041923 | Marlo Rae Hargrave | Registered Nurse | 100 East Main Street, Tuckerman, AR 72473 | 2018-01-16 |
| 1689928558 | Kristinia Pratt | Registered Nurse | 102 Elm Street, Tuckerman, AR 72473 | 2012-10-31 |
| 1649543687 | Steven Wiliams | Case Manager/Care Coordinator | 102 Elm Street, Tuckerman, AR 72473 | 2012-02-22 |
| 1093098279 | Anne French | Registered Nurse | 102 Elm Street, Tuckerman, AR 72473 | 2011-09-23 |
| 1679722664 | City of Tuckerman Recorder Treasurer | Ambulance | 201 Main Street, Tuckerman, AR 72473-0779 | 2008-09-15 |
| 1942610837 | Monica Scherrell Lowery | Counselor | 7005 Gamble St, Tuckerman, AR 72473-9237 | 2014-05-01 |
| Find all providers in zip 72473 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.