Organization Active NPI

City of Dumas

Doing business as Dumas EMS; Dumas City County Ambulance

  • Ambulance
  • Dumas, AR
National Provider Identifier
1174569206
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
440 Issued in AR
Legal business name
CITY OF DUMAS
Doing business as
Dumas EMS; Dumas City County Ambulance
Practice address
149 E Waterman St
Dumas, AR 71639
Phone
(870) 382-1131
Fax
(870) 382-5667
NPI assigned
Jun 20, 2006
Last updated
Apr 29, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
CITY OF DUMASAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Authorized official

Name
Mrs. Erma J Coburn, EMS DIRECTOR EMT
Title
Emt Director
Phone
(870) 382-1131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 440 AR Primary

Addresses

Primary practice location

149 E Waterman St
Dumas, AR 71639

Mailing address

P.O. Box 157
Dumas, AR 71639
Phone (870) 382-1131

Other identifiers 3

IdentifierTypeStateIssuer
102083715MedicaidAR
47111OtherARBCBS
590013281OtherARRAILROAD MEDICARE

Other names 1

  • Dumas EMS; Dumas City County Ambulance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110412000961 AR Part B Supplier - Ambulance Service Supplier 9436333697 Practice locations: Dumas, AR

National Provider Directory

National Provider Directory
Part of
City of Dumas

Locations

149 E Waterman St
Dumas, AR 71639
Phone (870) 382-1131

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1174569206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 157",
            "city": "DUMAS",
            "state": "AR",
            "postal_code": "71639",
            "telephone_number": "870-382-1131",
            "fax_number": "870-382-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 E WATERMAN ST",
            "city": "DUMAS",
            "state": "AR",
            "postal_code": "71639",
            "telephone_number": "870-382-1131",
            "fax_number": "870-382-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF DUMAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF DUMAS",
        "enumeration_date": "2006-06-20",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "COBURN",
        "authorized_official_first_name": "ERMA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EMT DIRECTOR",
        "authorized_official_telephone_number": "870-382-1131",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EMS DIRECTOR EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AR",
            "license": "440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102083715",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "47111",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590013281",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dumas EMS; Dumas City County Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dumas, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.