VOLUNTEER AMBULANCE SERVICE OF NE BENTON COUNTY (NPI# 1386648855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386648855 |
| Entity Type | Organization |
| Organization Name | VOLUNTEER AMBULANCE SERVICE OF NE BENTON COUNTY |
| Practice Address |
17938 Dennis Mitchell Rd Garfield AR 72732-9048 |
| Mailing Address |
Po Box 102 Garfield AR 72732-0102 |
| Practice Telephone | 4793593889 |
| Practice Fax Number | 4793592333 |
| Mailing Telephone | 4793593889 |
| Mailing Fax Number | 4793592333 |
| Enumeration Date | 2005-06-12 |
| Last Update Date | 2009-02-03 |
| Authorized Official Name | MISSY MASON (OFFICE MANAGER) |
| Authorized Official Telephone | 4793593889 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | 149 | AR | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 118610715 | 05 | |
| AR | VETERANS ADMIN | TO386107 | 01 |
| Street Address |
17938 DENNIS MITCHELL RD |
| City | GARFIELD |
| State | AR |
| Zip Code | 72732-9048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144755570 | Access Medical Clinic Arkansas LLC | Clinic/Center | 16723 Hwy 62, Garfield, AR 72732 | 2017-04-24 |
| 1720391212 | Northeast Benton County Volunteer Fire Department Inc | Ambulance | 14637 S Wimpy Jones Rd, Garfield, AR 72732 | 2010-07-26 |
| 1487704524 | Kimberly Dawn Burner | Family Medicine | 16723 Highway 62, Garfield, AR 72732-7007 | 2007-01-11 |
| 1699336586 | Alicia Marie Gates | Nurse Practitioner | 16723 Highway 62, Garfield, AR 72732-7007 | 2019-06-22 |
| 1346707981 | Jennifer Rose Mira | Nurse Practitioner | 16723 Highway 62, Garfield, AR 72732-7007 | 2019-03-01 |
| 1144498445 | Total Life Care Ems, Inc | Ambulance | 19631 Highway 62, Garfield, AR 72732-8977 | 2008-02-20 |
| 1952922676 | Rachel Brehm | Student in an Organized Health Care Education/Training Program | 19048 Woodridge Rd, Garfield, AR 72732-9780 | 2020-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376566 | Francesca Bautista | Social Worker | 246 Outwater Ln, Garfield, NJ 07026-2606 | 2020-11-05 |
| 1033725536 | Tanisha J Jones | Massage Therapist | 254 Outwater Ln Apt 1f, Garfield, NJ 07026-2638 | 2020-09-20 |
| 1407471493 | Angelice Grasso | Physician Assistant | 3 Holly Ln, Garfield, NJ 07026-3565 | 2020-06-15 |
| 1952922676 | Rachel Brehm | Student in an Organized Health Care Education/Training Program | 19048 Woodridge Rd, Garfield, AR 72732-9780 | 2020-05-04 |
| 1700426061 | Morris Integrative Chiropractic & Wellness LLP | Chiropractor | 11022 Tall Timbers Rd Sw, Garfield, MN 56332-8235 | 2020-01-14 |
| 1912546805 | Carlene Dennis | Occupational Therapy Assistant | 147 Shaw St, Garfield, NJ 07026-2162 | 2019-12-26 |
| 1356989438 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 58 Farnham Ave, Garfield, NJ 07026-1353 | 2019-12-19 |
| 1841838893 | Violeta Zileska | Nurse Practitioner | 384 Macarthur Ave, Garfield, NJ 07026-1147 | 2019-12-19 |
| 1760027189 | Devyn Dimeola Hodaj | Counselor | 35 Wessington Ave, Garfield, NJ 07026-3205 | 2019-11-08 |
| 1124662689 | Shaista Tahir | Occupational Therapist | 414 Macarthur Ave, Garfield, NJ 07026-1106 | 2019-10-28 |
| Find all providers in GARFIELD | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003384041 | Demond Lavar Shields | Emergency Medical Technician, Basic | 130 Barton Cv, Marion, AR 72364-1601 | 2018-11-07 |
| 1184975310 | John Dorsey Pike Sr. | Emergency Medical Technician, Basic | 5 Chaparral Ln, Little Rock, AR 72212-3619 | 2012-09-27 |
| 1225348980 | Jackie Leon Cheatham | Emergency Medical Technician, Basic | 907 Ar Hwy 56, Calico Rock, AR 72519-0261 | 2010-10-15 |
| 1295106524 | Belinda Snyder Bolden | Emergency Medical Technician, Basic | 3214 E Race Ave, Searcy, AR 72143-4810 | 2015-10-13 |
| 1508137308 | Jonathan Morgan Elrod | Emergency Medical Technician, Basic | 1 Childrens Way, Little Rock, AR 72202-3500 | 2012-01-25 |
Please comment or provide details below to improve the information on VOLUNTEER AMBULANCE SERVICE OF NE BENTON COUNTY.
| 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.