PROMED AMBULANCEINC. NPI 1417057480

NPI Information

NPI: 1417057480
Provider Name: PROMED AMBULANCE,INC.
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 04D0881269

Address:
1152 STRONG HWY
EL DORADO, AR
ZIP 71730
Phone: (870) 875-2273
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PROMED AMBULANCE,INC. is a land transport ambulance in El Dorado, AR. PROMED AMBULANCE,INC. NPI is 1417057480. The provider is registered as an organization entity type.

The provider's business location address is:

1152 STRONG HWY
EL DORADO, AR
ZIP 71730-636
Phone: (870) 875-2273
Fax: (870) 881-8989

The provider's authorized official is Ken Kelley .
The authorized official title is Pres/ceo and has the following contact phone number (870) 875-2273.

The CLIA number assigned to this NPI record is 04D0881269 - ambulance with a certificate type of Certificate of Waiver.

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	583/804	ARKANSAS	Yes

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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