Nevada County Ambulance Service

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0595 Issued in AR

Legal business name

NEVADA COUNTY AMBULANCE SERVICE

Practice address

864 E Main St
Prescott, AR 71857-3803

Phone

(870) 887-2339

Fax

(870) 887-6260

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Nick Hibbs

Title

Director

Phone

(870) 887-2339

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Little River County Ambulance Service Doing business as

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1114063583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 267",
            "city": "PRESCOTT",
            "state": "AR",
            "postal_code": "718570267",
            "telephone_number": "870-887-2339",
            "fax_number": "870-887-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 E MAIN ST",
            "city": "PRESCOTT",
            "state": "AR",
            "postal_code": "718573803",
            "telephone_number": "870-887-2339",
            "fax_number": "870-887-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA COUNTY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "HIBBS",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "870-887-2339",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AR",
            "license": "0595",
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AR",
            "license": "0505",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184271715",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127423715",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little River County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Alan Morrow
• Shelia Diane Mosely, LPN
• Lakeitha Moss
• Wendy Rochell Muldrew, CASE MANAGER
• Megan Nicole Nelson, FNP
• Talesha Nolen
• Mandy Carolyn O'Bryant
• Wadean Renee Oliver, LCSW
• Ruth Ann Overton, LPN
• Anthony Page

• Ambulance in Prescott, AR
• Providers in Prescott, AR by specialty
• Ambulance in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.