SPRING RIVER PARAMEDIC AMBULANCE SERVICE INC NPI 1831272145

NPI Information

NPI: 1831272145
Provider Name: SPRING RIVER PARAMEDIC AMBULANCE SERVICE INC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 04D0896727

Address:
4 NAVAJO CTR
CHEROKEE VILLAGE, AR
ZIP 72529
Phone: (870) 257-2044
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SPRING RIVER PARAMEDIC AMBULANCE SERVICE INC is a land transport ambulance in Cherokee Village, AR. SPRING RIVER PARAMEDIC AMBULANCE SERVICE INC NPI is 1831272145. The provider is registered as an organization entity type.

The provider's business location address is:

4 NAVAJO CTR
CHEROKEE VILLAGE, AR
ZIP 72529-610
Phone: (870) 257-2044
Fax: (870) 994-0792

The provider's authorized official is Charles Barton Schulz .
The authorized official title is General Manager and has the following contact phone number (870) 994-0790.

The CLIA number assigned to this NPI record is 04D0896727 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 1/23/2018.

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	0230	ARKANSAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3416L0300X	MEDICAID	ARKANSAS
2	105964715	MEDICAID	ARKANSAS
3	801640806	OTHER	MISSOURI	MO MEDICAID

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: 11/14/2023

NPI Synchronization or Removal

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