1205008679 NPI number — MISSISSIPPI COUNTY EMERGENCY MEDICAL SERVICES, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205008679 NPI number — MISSISSIPPI COUNTY EMERGENCY MEDICAL SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MISSISSIPPI COUNTY EMERGENCY MEDICAL SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205008679
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/26/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1461
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BLYTHEVILLE
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72316-1461
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
870-763-0911
Provider Business Mailing Address Fax Number:
870-763-2911

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
527 PARK ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BLYTHEVILLE
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72315-2423
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
870-763-0911
Provider Business Practice Location Address Fax Number:
870-763-2911
Provider Enumeration Date:
03/26/2008

Additional Information

Authorized Official

Authorized Official Last Name:
LEWIS
Authorized Official First Name:
FRANCIS
Authorized Official Middle Name:
R.
Authorized Official Title or Position:
SECRETARY/TREASURER
Authorized Official Telephone Number:
870-763-0911

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  0608 , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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