JACKIE CHEATHAM (NPI# 1063717106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063717106 |
| Entity Type | Organization |
| Organization Name | JACKIE CHEATHAM |
| Other Organization Name | OZARK EMS |
| Practice Address |
907 Ar Hwy 56 Calico Rock AR 72519 |
| Mailing Address |
907 Ar Hwy 56 Po Box 261 Calico Rock AR 72519 |
| Practice Telephone | 8702911898 |
| Mailing Telephone | 8702911898 |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2011-02-08 |
| Authorized Official Name | JACKIE CHEATHAM (OWNER) |
| Authorized Official Telephone | 8702911898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333300000X | Emergency Response System Companies | 204 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | EMERGENCY MEDICAL SERVICELLICENSE | 204 | 01 |
| Other Name | Type Code |
|---|---|
| Ozark EMS | Doing Business As Name - Organization |
| Street Address |
907 AR HWY 56 |
| City | CALICO ROCK |
| State | AR |
| Zip Code | 72519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225348980 | Jackie Leon Cheatham | Emergency Medical Technician, Basic | 907 Ar Hwy 56, Calico Rock, AR 72519-0261 | 2010-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760096630 | Speech and Swallowing Specialists of Arkansas LLC | Clinic/Center | 557 Pleasant Valley Road, Calico Rock, AR 72519 | 2020-09-08 |
| 1144862111 | Reagan Nicole Watson | Technician | 40 Pine Forest Trail, Jordan, AR 72519 | 2019-10-11 |
| 1588015820 | Bradley Bibb Md Pllc | Clinic/Center | 2161 Ar 56 Highway, Calico Rock, AR 72519 | 2016-06-28 |
| 1821437302 | Kristie D Branscum | Nurse Practitioner | 35 Grasse St, Calico Rock, AR 72519 | 2013-06-18 |
| 1295998326 | John Tipton Lane | Dentist | 2860 Park St., Calico Rock, AR 72519 | 2008-07-09 |
| 1255599189 | Cmc Home Health and Hospice, LLC | Home Health | 54 Grasse St, Calico Rock, AR 72519 | 2008-05-28 |
| 1942276217 | Shad Ashley Mcclain | Chiropractor | 201 Hwy 223 (jct 56 & 223), Calico Rock, AR 72519 | 2006-02-27 |
| 1699741082 | Robert C Lane | Anesthesiology | 35 Grasse Street, Calico Rock, AR 72519 | 2006-02-24 |
| 1164896650 | White River Health System, Inc | Family Medicine | 35 Grasse St, Calico Rock, AR 72519 | 2015-11-20 |
| 1467649533 | Susan Kay Thomas | Physical Therapy Assistant | 103 Grasse Street, Calico Rock, AR 72519 | 2007-10-02 |
| Find all providers in zip 72519 | ||||
| Taxonomy Code | 333300000X |
| Grouping | Suppliers |
| Classification | Emergency Response System Companies |
| A supplier of a personal emergency response system (PERS), which is an electronic device that enables a patient to receive emergency assistance when needed. The PERS is one of two different methodologies of notification: (1) where the patient summons emergency assistance themselves directly through the device or (2) emergency assistance is summoned through secure activation by the caretaker/guardian, which sends the device location to emergency responders. |
| Notes: Source: National Uniform Claim Committee, 2010 [7/1/2010: modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134451610 | Absolute Security, Fire, and Design | Emergency Response System Companies | 111 W Easy St, Rogers, AR 72756-2521 | 2010-02-08 |
| City | CALICO ROCK |
| Zip Code | 72519 |
Please comment or provide details below to improve the information on JACKIE CHEATHAM.
| 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.