BELLA VISTA AMBULANCE SERVICES, INC. (NPI# 1245363191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245363191 |
| Entity Type | Organization |
| Organization Name | BELLA VISTA AMBULANCE SERVICES, INC. |
| Practice Address |
103 Town Ctr W Bella Vista AR 72714-2420 |
| Practice Telephone | 4798554454 |
| Practice Fax Number | 4798557602 |
| Mailing Telephone | 4798554454 |
| Mailing Fax Number | 4798557602 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2011-11-02 |
| Authorized Official Name | MRS. BRIDGET BLANTON (PATIENT ACCOUNTS COORDINATOR) |
| Authorized Official Telephone | 4798554454 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
124 | AR | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 801150301 | 05 | |
| AR | 1011387515 | 05 |
| Street Address |
103 TOWN CTR W |
| City | BELLA VISTA |
| State | AR |
| Zip Code | 72714-2420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003183526 | City of Bella Vista Ambulance Service | Ambulance | 103 Town Ctr W, Bella Vista, AR 72714-2420 | 2011-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710230701 | Maurice A Torres | Clinic/Center | 9 Cresswell Circle, Bella Vista, AR 72714 | 2012-10-16 |
| 1790801991 | Karra D Sparks | Nutritionist | #4 Hanover Drive, Bella Vista, AR 72714 | 2007-03-21 |
| 1659405132 | Bella Vista Hearing Center Pllc | Audiologist | 22 Sugar Creek Center, Bella Vista, AR 72714 | 2007-03-15 |
| 1144329798 | Albert Paul Price Jr. | Nurse Practitioner | 1 Mercy Way Ste 20, Bella Vista, AR 72714 | 2006-09-21 |
| 1679025324 | Marymargaret Portera | Case Manager/Care Coordinator | 2005 Se Walton Blvd, Bentonville, AR 72714 | 2016-10-28 |
| 1982979720 | Ashley L Goss | Nurse Practitioner | 1 Mercy Way Ste 20, Bella Vista, AR 72714 | 2012-03-13 |
| 1538459425 | Jennifer Jo Jennings | Nurse Practitioner | 1 Mercy Way Ste 20, Bella Vista, AR 72714 | 2011-04-12 |
| 1932313491 | Andrea Myane | Physical Therapist | 500 Tiger Blvd, Bentonville, AR 72714 | 2007-05-10 |
| 1427114644 | Robin Renee Ritter | Pharmacist | 408 Town Ctr Ne, Bella Vista, AR 72714-1817 | 2006-12-29 |
| 1841336765 | Bella Vista Pharmacy, Inc | Pharmacy | 408 Town Ctr Ne, Bella Vista, AR 72714-1817 | 2007-01-29 |
| Find all providers in zip 72714 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003183526 | City of Bella Vista Ambulance Service | Ambulance | 103 Town Ctr W, Bella Vista, AR 72714-2420 | 2011-11-29 |
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| Find all providers with the same taxonomy | ||||
| City | BELLA VISTA |
| Zip Code | 72714 |
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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.