Active NPI
Bella Vista Ambulance Services, Inc.
- Land Ambulance
- Bella Vista, AR
National Provider Identifier
1245363191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 124
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 801150301 | Medicaid | MO | |
| 1011387515 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
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.