Organization Active NPI

Bella Vista Ambulance Services, Inc.

  • Land Ambulance
  • Bella Vista, AR
National Provider Identifier
1245363191
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
124 Issued in AR
Legal business name
BELLA VISTA AMBULANCE SERVICES, INC.
Practice address
103 Town Ctr W
Bella Vista, AR 72714-2420
Phone
(479) 855-4454
Fax
(479) 855-7602
NPI assigned
Mar 13, 2007
Last updated
Nov 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Mrs. Bridget Blanton
Title
Patient Accounts Coordinator
Phone
(479) 855-4454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 124 AR Primary

Addresses

Primary practice location

103 Town Ctr W
Bella Vista, AR 72714-2420

Mailing address

103 Town Ctr W
Bella Vista, AR 72714-2420
Phone (479) 855-4454

Other identifiers 2

IdentifierTypeStateIssuer
801150301MedicaidMO
1011387515MedicaidAR

National Provider Directory

National Provider Directory

Locations

103 Town Ctr W
Bella Vista, AR 72714
Phone (479) 855-4454

215 Glasgow Rd
Bella Vista, AR 72715
Phone (479) 855-8253

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1245363191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 TOWN CTR W",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727142420",
            "telephone_number": "479-855-4454",
            "fax_number": "479-855-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 TOWN CTR W",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727142420",
            "telephone_number": "479-855-4454",
            "fax_number": "479-855-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VISTA AMBULANCE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "PATIENT ACCOUNTS COORDINATOR",
        "authorized_official_telephone_number": "479-855-4454",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AR",
            "license": "124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "801150301",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011387515",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bella Vista, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.