CITY OF BELLA VISTA AMBULANCE SERVICE NPI 1003183526

NPI Information

NPI: 1003183526
Provider Name: CITY OF BELLA VISTA AMBULANCE SERVICE
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 04D0937397

Address:
103 TOWN CTR W
BELLA VISTA, AR
ZIP 72714
Phone: (479) 855-8248
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CITY OF BELLA VISTA AMBULANCE SERVICE is a land transport ambulance in Bella Vista, AR. CITY OF BELLA VISTA AMBULANCE SERVICE NPI is 1003183526. The provider is registered as an organization entity type.

The provider's business location address is:

103 TOWN CTR W
BELLA VISTA, AR
ZIP 72714-420
Phone: (479) 855-8248
Fax: (479) 855-7602

The provider's authorized official is Stephen R Sims .
The authorized official title is Fire Chief and has the following contact phone number (479) 855-8248.

The CLIA number assigned to this NPI record is 04D0937397 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2011 and was last updated on 12/1/2011.

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	124	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

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