Organization Name: | WES MCCABE |
NPI Number: | 1215989207 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WESLEY CLAYTON MCCABE (OWNER) |
Mailing Address: | 6337 Industrial Park Rd Van Buren |
State: | AR US |
Postal Code: | 729568482 |
Phone Number: | 4794715750 |
Fax Number: | 4794710237 |
NPI Enumeration Date: | 05/17/2006 |
NPI Last Update Date: | 06/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 797 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |