City of Marion
Organization Active NPI Land Ambulance · Marion, AR
NPI 1124241013 · NPPES record last updated Mar 31, 2011
Key facts
- NPI
- 1124241013
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 693 (AR)
- Legal business name
- CITY OF MARION
- Practice address
- 364 Military Rd
Marion, AR 72364-1734 - Phone
- (870) 739-4127
- NPI assigned
- Apr 10, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Robert Douglas Blake
- Title
- Captain
- Phone
- (901) 409-2876
National Provider Directory
Locations
364 Military Rd
Marion, AR 72364
Phone (870) 739-4127
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 693 | AR | Yes |
Addresses
Primary practice location
364 Military Rd
Marion, AR 72364-1734
Mailing address
PO Box 83
Marion, AR 72364-0083
Phone (807) 739-4127
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114141715 | Medicaid | AR |
Other providers in Marion, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.