Organization Active NPI

Northwest Arkansas Paramed Transfer LLC

  • Land Ambulance
  • Springdale, AR
National Provider Identifier
1043747744
Registry record updated Mar 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
NORTHWEST ARKANSAS PARAMED TRANSFER LLC
Practice address
925 Watson Ave
Springdale, AR 72764-5211
Phone
(479) 631-2975
NPI assigned
May 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2022

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

Authorized official

Name
Jennifer L Jackson
Title
Sr. Director Onboarding/Enrollment
Phone
(877) 892-9815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X AR Primary

Addresses

Primary practice location

925 Watson Ave
Springdale, AR 72764-5211

Mailing address

PO Box 689022
Franklin, TN 37068-9022

Other names 1

  • ARKANSAS PARAMED TRANSFER Doing business as

National Provider Directory

National Provider Directory

Locations

925 Watson Ave
Springdale, AR 72764
Phone (479) 631-2975

NPI Registry JSON

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646438400000",
    "number": "1043747744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 WATSON AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645211",
            "telephone_number": "479-631-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ARKANSAS PARAMED TRANSFER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2022-03-05",
        "certification_date": "2022-03-05",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SR. DIRECTOR ONBOARDING/ENROLLMENT",
        "authorized_official_telephone_number": "877-892-9815"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARKANSAS PARAMED TRANSFER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARKANSAS PARAMED TRANSFER",
            "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 Mar 5, 2022; 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.