Active NPI
Columbia County Ambulance Service Co Inc
- Land Ambulance
- Magnolia, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 590
- Legal business name
- COLUMBIA COUNTY AMBULANCE SERVICE CO INC
- Practice address
- 218 S Pine
Magnolia, AR 71753-3642 - Phone
- (870) 234-7371
- Fax
- (870) 234-2992
- NPI assigned
- May 10, 2006
- 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. Amanda Newton
- Title
- Owner
- Phone
- (870) 234-7371
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 590 | AR | Primary |
| Land Ambulance | 3416L0300X | 576 | AR |
Addresses
Primary practice location
218 S Pine
Magnolia, AR 71753-3642
Mailing address
218 S Pine
Magnolia, AR 71753-3642
Phone (870) 234-7371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121112000110 | AR | Part B Supplier - Ambulance Service Supplier | 5799936142 | Practice locations: Magnolia, AR |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2198232 | Columbia County Ambulance Service | Certificate of waiver | Oct 29, 2026 |
National Provider Directory
National Provider DirectoryLocations
218 S Pine
Magnolia, AR 71753
Phone (501) 234-7371
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Developmental Therapist
- Magnolia, AR
- NPI 1316802127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340582400000",
"number": "1053361295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 S PINE",
"city": "MAGNOLIA",
"state": "AR",
"postal_code": "717533642",
"telephone_number": "870-234-7371",
"fax_number": "870-234-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 S PINE",
"city": "MAGNOLIA",
"state": "AR",
"postal_code": "717533642",
"telephone_number": "870-234-7371",
"fax_number": "870-234-2992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLUMBIA COUNTY AMBULANCE SERVICE CO INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-10",
"last_updated": "2012-06-25",
"status": "A",
"authorized_official_last_name": "NEWTON",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-234-7371",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "AR",
"license": "590",
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "AR",
"license": "576",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Magnolia, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.