Active NPI
City of Marion
- Land Ambulance
- Marion, AR
National Provider Identifier
1003113382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 693
- Legal business name
- CITY OF MARION
- Practice address
- 364 Military Rd
Marion, AR 72364-1734 - Phone
- (870) 739-4127
- NPI assigned
- Feb 22, 2011
- Last updated
- Feb 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Douglas Blake
- Title
- Captain
- Phone
- (901) 409-2876
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 693 | AR | Primary |
Addresses
Primary practice location
364 Military Rd
Marion, AR 72364-1734
Mailing address
PO Box 83
Marion, AR 72364-0083
Phone (870) 739-4127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114141715 | Medicaid | AR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298332800000",
"number": "1003113382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 83",
"city": "MARION",
"state": "AR",
"postal_code": "723640083",
"telephone_number": "870-739-4127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "364 MILITARY RD",
"city": "MARION",
"state": "AR",
"postal_code": "723641734",
"telephone_number": "870-739-4127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF MARION",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-22",
"last_updated": "2011-02-22",
"status": "A",
"authorized_official_last_name": "BLAKE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "DOUGLAS",
"authorized_official_title_or_position": "CAPTAIN",
"authorized_official_telephone_number": "901-409-2876",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "AR",
"license": "693",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114141715",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.