Riverside Ambulance Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0662 Issued in AR

Legal business name

RIVERSIDE AMBULANCE INC

Practice address

208 Liberty St
Marked Tree, AR 72365-2207

Phone

(870) 358-3970

NPI assigned

Mar 3, 2006

Last updated

Dec 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Blake Fox

Title

President/Owner

Phone

(870) 358-3970

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1104893676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 LIBERTY ST",
            "city": "MARKED TREE",
            "state": "AR",
            "postal_code": "723652207",
            "telephone_number": "870-358-3970",
            "fax_number": "870-358-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 LIBERTY ST",
            "city": "MARKED TREE",
            "state": "AR",
            "postal_code": "723652207",
            "telephone_number": "870-358-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "870-358-3970"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AR",
            "license": "0662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "riversideambulance3359@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "riversideambulance3359@gmail.com",
            "address_1": "208 Liberty St",
            "city": "Marked Tree",
            "state": "AR",
            "country_code": "US",
            "postal_code": "723652207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• New York Institute of Technology
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• Joe Roach
• Kimitaka Saito, MD
• Bianca Smith

• Land Ambulance in Marked Tree, AR
• Providers in Marked Tree, AR by specialty
• Land Ambulance in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.