MED-TECH EMS OF CONWAY CO INC. NPI 1285672659

NPI Information

NPI: 1285672659
Provider Name: MED-TECH EMS OF CONWAY CO, INC.
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 04D0862298

Address:
10 MEDICAL SERVICES DR
MORRILTON, AR
ZIP 72110
Phone: (501) 354-8181
Get Directions

MED-TECH EMS OF CONWAY CO, INC. is a land transport ambulance in Morrilton, AR. MED-TECH EMS OF CONWAY CO, INC. NPI is 1285672659. The provider is registered as an organization entity type.

The provider's business location address is:

10 MEDICAL SERVICES DR
MORRILTON, AR
ZIP 72110-518
Phone: (501) 354-8181
Fax: (501) 354-1420

The provider's authorized official is Denise Margo Carson .
The authorized official title is President and has the following contact phone number (501) 354-8181.

The CLIA number assigned to this NPI record is 04D0862298 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 9/29/2020.

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	805	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	118801715	MEDICAID	ARKANSAS
2	47030	OTHER	ARKANSAS	BLUE CROSS BLUE SHIELD

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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