Organization Name: | TRUMANN AMBULANCE SERVICE |
NPI Number: | 1376606053 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIMBERLY DAWN WATKINS (PRESIDENT) |
Mailing Address: | 408 Jaden Cove Trumann |
State: | AR US |
Postal Code: | 72472 |
Phone Number: | 8704836441 |
Fax Number: | 8704837840 |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 04/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 0636 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |