Yell County Medical Transport, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

YELL COUNTY MEDICAL TRANSPORT, LLC

Practice address

1007 E 8TH St
Danville, AR 72833-8801

Phone

(501) 978-8612

NPI assigned

Apr 18, 2019

Organization subpart

No

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

Authorized official

Name

Richard Skeens

Title

VP Revenue Cycle

Phone

(501) 978-8612

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pinnacle Emergency Medical Services Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1245893858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 E 8TH ST",
            "city": "DANVILLE",
            "state": "AR",
            "postal_code": "728338801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 E 8TH ST",
            "city": "DANVILLE",
            "state": "AR",
            "postal_code": "728338801",
            "telephone_number": "501-978-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELL COUNTY MEDICAL TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-18",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "SKEENS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "501-978-8612"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "830",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Wilcox, M.D.
• Christy A Wojtkowski, RPT
• Terri Yandell
• Amanda Yang, PTA
• Yell County EMS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.