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POPE COUNTY NPI 1376651521


NPI Information

NPI: 1376651521
Provider Name: POPE COUNTY

Doing Business As: POPE COUNTY EMERGENCY MEDICAL SERVICES

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 04D2050176

Address:
3 COUNTY COMPLEX CIR
RUSSELLVILLE, AR
ZIP 72802
Phone: (479) 968-8222
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POPE COUNTY is a land transport ambulance in Russellville, AR. POPE COUNTY NPI is 1376651521. The provider is registered as an organization entity type.
The provider Is Doing Business As Pope County Emergency Medical Services.

The provider's business location address is:

3 COUNTY COMPLEX CIR
RUSSELLVILLE, AR
ZIP 72802-423
Phone: (479) 968-8222
Fax: (479) 968-1652

The provider's authorized official is Doug Duerr .
The authorized official title is Director and has the following contact phone number (479) 968-8222.

The CLIA number assigned to this NPI record is 04D2050176 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/28/2006 and was last updated on 2/14/2014.


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
13416L0300XAmbulanceLand Transport0840ARKANSASYes

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
1406590754OTHERARKANSASPALMETTO GBA, RAILROAD MC
247283MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
3103906715MEDICAIDARKANSAS
4=========50OTHERARKANSASQCA HEALTH PLAN, INC

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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