NORTHWEST MEDICAL TRANSFER, INC.


Address: 2319 Ladelle Ave, Lowell, AR 72745
Phone: 4797507214

NORTHWEST MEDICAL TRANSFER, INC. (NPI# 1164515771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164515771
Entity Type Organization
Organization Name NORTHWEST MEDICAL TRANSFER, INC.
Practice Address 2319 Ladelle Ave
Lowell
AR 72745
Practice Telephone 4797507214
Mailing Telephone 4797507214
Enumeration Date 2006-10-02
Last Update Date 2020-08-22
Authorized Official Name MRS. CAMILLE A WILCOX (OPERATIONS MANAGER)
Authorized Official Telephone 4797507214
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3416L0300X Ambulance
Specialization: Land Transport
0116 AR Transportation Services

Other Provider Identifier

State Issuer Identifier Type Code
AR AR AMB SVC LICENSE 0116 01
AR ALL OTHER INS. ID NO. X43141 01

Office Location

Street Address 2319 LADELLE AVE
City LOWELL
State AR
Zip Code 72745

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Taxonomy Information

Taxonomy Code 3416L0300X
Grouping Transportation Services
Classification Ambulance
Specialization Land Transport

Taxonomy Definition

Definition to come...
Notes: [1/1/2005: title modified]

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Competitor

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City LOWELL
Zip Code 72745

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Dataset Information

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.

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