Organization Active NPI

Arkansas Emergency Transport, LLC

  • Ambulance
  • Jacksonville, AR
National Provider Identifier
1124003850
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
301 Issued in AR
Legal business name
ARKANSAS EMERGENCY TRANSPORT, LLC
Practice address
2003 Military Road
Jacksonville, AR 72076
Phone
(501) 982-5912
Fax
(501) 985-9912
NPI assigned
Dec 15, 2005
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Roger W Hosman
Title
President
Phone
(501) 982-5912

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 225 AR
Ambulance 341600000X 306 AR
Ambulance 341600000X 301 AR Primary

Addresses

Primary practice location

2003 Military Road
Jacksonville, AR 72076

Mailing address

PO Box 339
Jacksonville, AR 72078-0339
Phone (501) 982-5912

Other identifiers 1

IdentifierTypeStateIssuer
48861OtherARBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1124003850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720780339",
            "telephone_number": "501-982-5912",
            "fax_number": "501-985-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 MILITARY ROAD",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "72076",
            "telephone_number": "501-982-5912",
            "fax_number": "501-985-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS EMERGENCY TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HOSMAN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-982-5912"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AR",
            "license": "225",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AR",
            "license": "306",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AR",
            "license": "301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "48861",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.