Active NPI
Good Shepherd Transportation LLC
- Non-emergency Medical Transport (VAN)
- Springdale, AR
National Provider Identifier
1023604683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- GOOD SHEPHERD TRANSPORTATION LLC
- Practice address
- 3895 George Anderson Rd
Springdale, AR 72764-8251 - Phone
- (479) 361-8983
- Fax
- (479) 419-5344
- NPI assigned
- Dec 17, 2020
- 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
- Joel Brown
- Title
- Managing Partner
- Phone
- (479) 283-6773
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
3895 George Anderson Rd
Springdale, AR 72764-8251
Mailing address
3895 George Anderson Rd
Springdale, AR 72764-8251
Phone (479) 361-8963
Other names 1
- Good Shepherd Medical Transport
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | SPRINGDALE | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231221001792 | AR | Part B Supplier - Ambulance Service Supplier | 1254781990 | Practice locations: Springdale, AR |
National Provider Directory
National Provider DirectoryLocations
589 White Rd
Ste A
Springdale, AR 72762
3895 George Anderson Rd
Springdale, AR 72764
Phone (479) 361-8983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702857600000",
"number": "1023604683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3895 GEORGE ANDERSON RD",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727648251",
"telephone_number": "479-361-8963",
"fax_number": "479-419-5344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3895 GEORGE ANDERSON RD",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727648251",
"telephone_number": "479-361-8983",
"fax_number": "479-419-5344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD SHEPHERD TRANSPORTATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-17",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "JOEL",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "479-283-6773"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "SPRINGDALE",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "SPRINGDALE",
"address_1": "589 White Rd Ste A",
"city": "Springdale",
"state": "AR",
"country_code": "US",
"postal_code": "727622799",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Good Shepherd Medical Transport",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.