Crittenden Ambulance Service Corp

Primary specialty

AmbulanceTaxonomy code 341600000X

License

633 Issued in AR

Legal business name

CRITTENDEN AMBULANCE SERVICE CORP

Practice address

510 E Jackson Ave
West Memphis, AR 72301-4336

Phone

(800) 451-8036

Fax

(870) 777-8479

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Jennifer Revels

Title

Manager

Phone

(800) 451-8036

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043420094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3127",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723033127",
            "telephone_number": "800-451-8036",
            "fax_number": "870-777-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E JACKSON AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014336",
            "telephone_number": "800-451-8036",
            "fax_number": "870-777-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITTENDEN AMBULANCE SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REVELS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "800-451-8036"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AR",
            "license": "633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BCBS",
            "identifier": "47153",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna D Crayton
• Kimberly Latashia Crenshaw, M.D.
• Roger Dale Criner Jr., MD
• Crittenden Adult Care Services
• Crittenden Adult Care Services L.L.C.
• Crittenden Cares, Inc
• Crittenden Cares, Inc
• Crittenden Cares, Inc.
• Crittenden Emergency Group LLC
• Crittenden EMS LLC

• Ambulance in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Ambulance in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.