Northwest Medical Transfer, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0116 Issued in AR

Legal business name

NORTHWEST MEDICAL TRANSFER, INC.

Practice address

2319 Ladelle Ave
Lowell, AR 72745

Phone

(479) 750-7214

NPI assigned

Oct 2, 2006

Last updated

Aug 22, 2020By 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

Mrs. Camille A Wilcox

Title

Operations Manager

Phone

(479) 750-7214

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164515771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 LADELLE AVE",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "72745",
            "telephone_number": "479-750-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 LADELLE AVE",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "72745",
            "telephone_number": "479-750-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MEDICAL TRANSFER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "479-750-7214",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AR",
            "license": "0116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR AMB SVC LICENSE",
            "identifier": "0116",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHER INS. ID NO.",
            "identifier": "X43141",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mountaincrest Rehab of Lowell
• Chelsi Musick, CRNA
• Lindsey Anne Myers, LCSW
• Laura Jeannine Neal, MSN, APRN, FNP-BC
• Northwest Arkansas Gastroenterology Clinic PA
• NW Arkansas Caregiving, LLC (Visiting Angels)
• Nwa Chiropractic, PA
• Nick Ogle, PHD
• Adegbenga Ademuyiwa Olayemi, MD
• Mark F Olsen, M.D.

• Land Ambulance in Lowell, AR
• Providers in Lowell, AR by specialty
• Land Ambulance in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.