| Organization Name: | BELLA VISTA AMBULANCE SERVICES, INC. |
| NPI Number: | 1245363191 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRIDGET BLANTON (PATIENT ACCOUNTS COORDINATOR) |
| Mailing Address: | 103 Town Ctr W Bella Vista |
| State: | AR US |
| Postal Code: | 727142420 |
| Phone Number: | 4798554454 |
| Fax Number: | 4798557602 |
| NPI Enumeration Date: | 03/13/2007 |
| NPI Last Update Date: | 11/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 124 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |