SOUTHARK EMS LLC NPI 1063512051

NPI Information

NPI: 1063512051
Provider Name: SOUTHARK EMS, LLC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
908 N MAIN ST
HAMBURG, AR
ZIP 71646
Phone: (870) 853-4800
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SOUTHARK EMS, LLC is a land transport ambulance in Hamburg, AR. SOUTHARK EMS, LLC NPI is 1063512051. The provider is registered as an organization entity type.

The provider's business location address is:

908 N MAIN ST
HAMBURG, AR
ZIP 71646-722
Phone: (870) 853-4800
Fax: (870) 881-8989

The provider's authorized official is Shannon Shaver .
The authorized official title is Pres. and has the following contact phone number (870) 853-4800.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	491	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00150820	OTHER	ARKANSAS	RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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