Active NPI
City of Dumas
Doing business as Dumas EMS; Dumas City County Ambulance
- Ambulance
- Dumas, AR
National Provider Identifier
1174569206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 440
- 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, 2011
- Organization subpart
- Yes
- Parent organization
- CITY OF DUMAS
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102083715 | Medicaid | AR | |
| 47111 | Other | AR | BCBS |
| 590013281 | Other | AR | RAILROAD MEDICARE |
Other names 1
- Dumas EMS; Dumas City County Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.