Organization Name: | MED-TECH EMS OF CONWAY CO, INC. |
NPI Number: | 1285672659 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENISE MARGO CARSON (PRESIDENT) |
Mailing Address: | 10 Medical Services Dr Morrilton |
State: | AR US |
Postal Code: | 721104518 |
Phone Number: | 5013548181 |
Fax Number: | 5013541420 |
NPI Enumeration Date: | 06/04/2006 |
NPI Last Update Date: | 10/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 805 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |