Ambulance Services of Forrest City LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

619 Issued in AR

Legal business name

AMBULANCE SERVICES OF FORREST CITY LLC

Doing business as

Emergency Medical Services of Arkansas

Practice address

1601 New Castle Rd
Forrest City, AR 72335-2218

Phone

(870) 630-9611

Fax

(870) 630-9657

NPI assigned

May 31, 2006

Last updated

Jul 7, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

AMBULANCE SERVICES OF FORREST CITY LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laura J Fey

Title

Director, Clinic Revenue Cycle

Phone

(615) 221-3641

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Emergency Medical Services of Arkansas Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Part of

Ambulance Services of Forrest City LLC

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1023055118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 NEW CASTLE RD",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723352218",
            "telephone_number": "870-630-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NEW CASTLE RD",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723352218",
            "telephone_number": "870-630-9611",
            "fax_number": "870-630-9657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULANCE SERVICES OF FORREST CITY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMBULANCE SERVICES OF FORREST CITY LLC",
        "enumeration_date": "2006-05-31",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "FEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR, CLINIC REVENUE CYCLE",
        "authorized_official_telephone_number": "615-221-3641"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AR",
            "license": "619",
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AR",
            "license": "640",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160796715",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "619",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE-SECOND LOCATION",
            "identifier": "640",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Medical Services of Arkansas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in Forrest City, AR
• Providers in Forrest City, AR by specialty
• Ambulance in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.