EMERGENCY AMBULANCE SERVICE OF ARKANSAS, INC. (NPI# 1710978978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710978978 |
| Entity Type | Organization |
| Organization Name | EMERGENCY AMBULANCE SERVICE OF ARKANSAS, INC. |
| Practice Address |
1653 S Highway 65 82 Lake Village AR 71653-1661 |
| Mailing Address |
Po Box 5099 Pine Bluff AR 71611-5099 |
| Practice Telephone | 8705360734 |
| Practice Fax Number | 8705348378 |
| Mailing Telephone | 8705360734 |
| Mailing Fax Number | 8705348378 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2008-07-21 |
| Authorized Official Name | MR. LEN PALMISANO (CFO) |
| Authorized Official Telephone | 8705360734 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146L00000X | Emergency Medical Technician, Paramedic | 407 | AR | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 154526715 | 05 |
| Street Address |
1653 S HIGHWAY 65 82 |
| City | LAKE VILLAGE |
| State | AR |
| Zip Code | 71653-1661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500192 | Ashley Brown | Speech-Language Pathologist | 336 Us-82, Lake Village, AR 71653 | 2020-08-26 |
| 1861901985 | Chicot Memorial Medical Center | Clinic/Center | 2729 S. Hwy 65 82, Lake Village, AR 71653 | 2017-09-20 |
| 1326586173 | Mainline Health Systems, Inc | Clinic/Center | 360 A Hwy 82, Lake Village, AR 71653 | 2017-02-01 |
| 1508303124 | Mainline Health Systems, Inc | Clinic/Center | 360 A Highway 82, Lake Village, AR 71653 | 2017-01-20 |
| 1689120263 | Russell Medical Services Pllc | Family Medicine | 5071 Highway 82 E, Lake Village, AR 71653 | 2016-09-01 |
| 1528362035 | Hillman Chiropractic LLC | Chiropractor | 2819 Louis Sessions Dr., Lake Village, AR 71653 | 2010-12-28 |
| 1902113913 | Sheri K Bagwell | Counselor | 1127 Second St., Lake Village, AR 71653 | 2010-09-13 |
| 1205154044 | Arkansas Department of Health | Public Health or Welfare | 1742 Hwy 65 and 82 South, Lake Village, AR 71653 | 2010-05-04 |
| 1114259041 | William Jackson Weaver | General Practice | 1754 Lake Hall Road, Lake Village, AR 71653 | 2010-02-03 |
| 1821246992 | Maurenella Antionette Nelson | Social Worker | 1127 Second Street, Lake Village, AR 71653 | 2008-09-03 |
| Find all providers in zip 71653 | ||||
| Taxonomy Code | 146L00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Paramedic |
| An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386075588 | George Muns | Emergency Medical Technician, Paramedic | 185 Polk Road 646, Mena, AR 71953-9798 | 2013-12-13 |
| 1396959227 | Kyle Rhone | Emergency Medical Technician, Paramedic | 114 Inverness Cv, Benton, AR 72015-8974 | 2007-05-10 |
| 1174666002 | Hills Drug Store | Emergency Medical Technician, Paramedic | 1238a Highway 62 412, Highland, AR 72542-9468 | 2007-02-14 |
| 1295818094 | David Donovan | Emergency Medical Technician, Paramedic | 146 Dr. Herd E. Stone Ave, Holly Grove, AR 72069 | 2006-10-23 |
| 1801979273 | City of Mcgehee | Emergency Medical Technician, Paramedic | 901 Holly St, Mc Gehee, AR 71654-2142 | 2006-10-22 |
| 1174558530 | City of Siloam Springs | Emergency Medical Technician, Paramedic | 1450 Cheri Whitlock Drive, Siloan Springs, AR 72761 | 2006-07-12 |
| 1487631305 | Fort Smith Emergency Medical Services | Emergency Medical Technician, Paramedic | 1701 S Greenwood Ave, Fort Smith, AR 72901-4243 | 2005-12-30 |
| 1285619742 | Fast Ambulance Service and Transportation LLC. | Emergency Medical Technician, Paramedic | 802 S Main St, Hamburg, AR 71646-3518 | 2005-12-07 |
| 1396736559 | Emergency Ambulance Service, Inc. | Emergency Medical Technician, Paramedic | 116 University Dr, Pine Bluff, AR 71601-3306 | 2005-11-04 |
| 1386634442 | Southwest Ems Inc | Emergency Medical Technician, Paramedic | 1311c Highway 71 N, Mena, AR 71953-8447 | 2005-10-28 |
| Find all providers with the same taxonomy | ||||
| City | LAKE VILLAGE |
| Zip Code | 71653 |
Please comment or provide details below to improve the information on EMERGENCY AMBULANCE SERVICE OF ARKANSAS, INC..
| 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.