BLYTHEVILLE CITIZENS BAND RADIO CLUB INC NPI 1538170956

NPI Information

BLYTHEVILLE CITIZENS BAND RADIO CLUB INC is an ambulance in Blytheville, AR. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). BLYTHEVILLE CITIZENS BAND RADIO CLUB INC NPI is 1538170956. The provider is registered as an organization entity type.

The provider's business location address is:

200 CHICKASAWBA ST
BLYTHEVILLE, AR
ZIP 72315-812
Phone: (870) 740-2248
Fax: (870) 763-6794

The provider's authorized official is Mike Godsey .
The authorized official title is Chief and has the following contact phone number (870) 740-2248.

The CLIA number assigned to this NPI record is 04D2208435 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 1/27/2012.

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:

Other Identifiers

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

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