MED-TECH EMS OF CONWAY CO, INC. (NPI# 1285672659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285672659 |
Entity Type | Organization |
Organization Name | MED-TECH EMS OF CONWAY CO, INC. |
Practice Address |
10 Medical Services Dr Morrilton AR 72110-4518 |
Practice Telephone | 5013548181 |
Practice Fax Number | 5013541420 |
Mailing Telephone | 5013548181 |
Mailing Fax Number | 5013541420 |
Enumeration Date | 2006-06-04 |
Last Update Date | 2020-09-29 |
Authorized Official Name | MS. DENISE MARGO CARSON (PRESIDENT) |
Authorized Official Telephone | 5013548181 |
Authorized Official Credential | RN, EMT-I |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
805 | AR | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 118801715 | 05 | |
AR | BLUE CROSS BLUE SHIELD | 47030 | 01 |
Street Address |
10 MEDICAL SERVICES DR |
City | MORRILTON |
State | AR |
Zip Code | 72110-4518 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326692674 | Kaitlyn Riggin | Counselor | 100 S. Cherokee, Morrilton, AR 72110 | 2019-07-25 |
1871976530 | Zachary Dixon Family Dental/ Dixon Family Dental | Dentist | 1700 University Blvd, Suite 105, Morrilton, AR 72110 | 2015-06-30 |
1669854493 | Stuart Sherwood | Dentist | 1700 University Blvd., Suite 105, Morrilton, AR 72110 | 2015-06-29 |
1538392360 | Sandra L Greeson | Physical Therapist | 27 Cothren Estates, Morrilton, AR 72110 | 2009-08-27 |
1295998128 | Brenda J Alred | Speech-Language Pathologist | 100 Robert Fiser Drive, Morrilton, AR 72110 | 2008-07-10 |
1043417835 | Three Guys, Inc | Pharmacy | 100 South Joseph St, Morrilton, AR 72110 | 2007-06-27 |
1720100464 | Brenda Wilson | Physical Therapist | 100 Robert H. Fiser Dr., Morrilton, AR 72110 | 2007-04-04 |
1770631467 | Conway County Community Service Inc. | Community/Behavioral Health | 100 S Cherokee St., Morrilton, AR 72110 | 2007-01-08 |
1154489581 | Jackie Coombe-moore | Psychiatry & Neurology | Counseling Associates, Inc, 8 Hospital Drive, Morrilton, AR 72110 | 2006-12-05 |
1932275195 | University of Arkansas for Medical Sciences | Pediatrics | 100 Robert Fiser Ave, Morrilton, AR 72110 | 2006-11-28 |
Find all providers in zip 72110 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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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.