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EMERGENCY AMBULANCE SERVICE INC. NPI 1396736559


NPI Information

NPI: 1396736559
Provider Name: EMERGENCY AMBULANCE SERVICE, INC.
Classification: Emergency Medical Technician, Paramedic - 146L00000X
Entity Type: Organization

CLIA Number: 04D2050946

Address:
116 UNIVERSITY DR
PINE BLUFF, AR
ZIP 71601
Phone: (870) 536-0734
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EMERGENCY AMBULANCE SERVICE, INC. is an emergency medical technician paramedic in Pine Bluff, AR. The provider is an EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. EMERGENCY AMBULANCE SERVICE, INC. NPI is 1396736559. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

116 UNIVERSITY DR
PINE BLUFF, AR
ZIP 71601-306
Phone: (870) 536-0734
Fax: (870) 534-8378

The provider's authorized official is Len Palmisano .
The authorized official title is Cfo and has the following contact phone number (870) 536-0734.

The CLIA number assigned to this NPI record is 04D2050946 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2005 and was last updated on 7/21/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1146L00000XEmergency Medical Technician, Paramedic459ARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1101581715MEDICAIDARKANSAS
247275MEDICARE ID-TYPE UNSPECIFIEDARKANSASPROVIDER NUMBER

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

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