CRITTENDEN EMS LLC NPI 1861422560

NPI Information

NPI: 1861422560
Provider Name: CRITTENDEN EMS LLC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
205 S 2ND ST
WEST MEMPHIS, AR
ZIP 72301
Phone: (870) 733-1166
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CRITTENDEN EMS LLC is a land transport ambulance in West Memphis, AR. CRITTENDEN EMS LLC NPI is 1861422560. The provider is registered as an organization entity type.

The provider's business location address is:

205 S 2ND ST
WEST MEMPHIS, AR
ZIP 72301-307
Phone: (870) 733-1166
Fax: (870) 733-1168

The provider's authorized official is Genny C. Hallum .
The authorized official title is Office Mangaer and has the following contact phone number (870) 733-1166.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 7/2/2008.

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	696	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	157360715	MEDICAID	ARKANSAS
2	47391	MEDICARE ID-TYPE UNSPECIFIED	ARKANSAS

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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