Active NPI
Medic One, LLC
Doing business as Medic One Ambulance Service
- Land Ambulance
- Jonesboro, AR
National Provider Identifier
1336114131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 627
- Legal business name
- MEDIC ONE, LLC
- Doing business as
- Medic One Ambulance Service
- Practice address
- 6007 Dalton Farmer Dr
Jonesboro, AR 72404-8895 - Phone
- (870) 972-0708
- Fax
- (870) 972-5787
- NPI assigned
- Feb 23, 2006
- 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
- William Rosenberg
- Title
- Ceo
- Phone
- (410) 753-1831
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 626 | AR | |
| Land Ambulance | 3416L0300X | 627 | AR | Primary |
| Land Ambulance | 3416L0300X | 629 | AR |
Addresses
Primary practice location
6007 Dalton Farmer Dr
Jonesboro, AR 72404-8895
Mailing address
6007 Dalton Farmer Dr
Jonesboro, AR 72404-8895
Phone (870) 972-0708
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 808958300 | Medicaid | MO | |
| 142297715 | Medicaid | AR |
Other names 1
- MEDIC ONE AMBULANCE SERVICE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051213000883 | AR | Part B Supplier - Ambulance Service Supplier | 3779511852 | Practice locations: Lake City, AR; Walnut Ridge, AR; Trumann, AR; Jonesboro, AR; Harrisburg, AR |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Medic One LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
3301 S Caraway Rd
Jonesboro, AR 72404
Phone (870) 972-8484
5504 E Johnson Ave
Jonesboro, AR 72405
Phone (501) 932-3271
6007 Dalton Farmer Dr
Jonesboro, AR 72404
Phone (870) 972-8484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778544000000",
"number": "1336114131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6007 DALTON FARMER DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724048895",
"telephone_number": "870-972-0708",
"fax_number": "870-972-5787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6007 DALTON FARMER DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724048895",
"telephone_number": "870-972-0708",
"fax_number": "870-972-5787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDIC ONE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-23",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A",
"authorized_official_last_name": "ROSENBERG",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "410-753-1831"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "AR",
"license": "626",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "AR",
"license": "627",
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "AR",
"license": "629",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "808958300",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142297715",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDIC ONE AMBULANCE SERVICE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MEDIC ONE AMBULANCE SERVICE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.