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CITY OF PEA RIDGE NPI 1407875461


NPI Information

NPI: 1407875461
Provider Name: CITY OF PEA RIDGE

Former Legal Business Name: PEA RIDGE FIRE DEPARTMENT

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
293 SOUTH CURTIS AVE
PEA RIDGE, AR
ZIP 72751
Phone: (479) 451-1111
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CITY OF PEA RIDGE is a land transport ambulance in Pea Ridge, AR. CITY OF PEA RIDGE NPI is 1407875461. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Pea Ridge Fire Department.

The provider's business location address is:

293 SOUTH CURTIS AVE
PEA RIDGE, AR
ZIP 72751-010
Phone: (479) 451-1111
Fax: (479) 451-1681

The provider's authorized official is Jamie Wayne Baggett .
The authorized official title is Fire Chief and has the following contact phone number (479) 451-1111.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 7/21/2022.


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 TransportARKANSASNo
23416L0300XAmbulanceLand Transport0147ARKANSASYes

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
147322OTHERARKANSASBCBS
2121930715MEDICAIDARKANSAS

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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