Chimes Volunteer Fire Department
Organization Active NPI Ambulance · Leslie, AR
NPI 1346201688 · NPPES record last updated Oct 28, 2009
Key facts
- NPI
- 1346201688
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 165 (AR)
- Legal business name
- CHIMES VOLUNTEER FIRE DEPARTMENT
- Practice address
- 4145 Highway 254 W
Leslie, AR 72645-9487 - Phone
- (501) 745-2495
- NPI assigned
- Mar 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Steve Myers
- Title
- Fire Chief/Emt
- Phone
- (501) 745-2495
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091028000034 | AR | Part B Supplier - Ambulance Service Supplier | 7618014408 | Practice locations: Leslie, AR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 165 | AR | Yes |
Addresses
Primary practice location
4145 Highway 254 W
Leslie, AR 72645-9487
Mailing address
1871 Hefner Rd
Leslie, AR 72645-9488
Phone (501) 745-8141
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133156715 | Medicaid | AR |
NPI Registry JSON
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256688000000",
"number": "1346201688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1871 HEFNER RD",
"city": "LESLIE",
"state": "AR",
"postal_code": "726459488",
"telephone_number": "501-745-8141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4145 HIGHWAY 254 W",
"city": "LESLIE",
"state": "AR",
"postal_code": "726459487",
"telephone_number": "501-745-2495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIMES VOLUNTEER FIRE DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-28",
"last_updated": "2009-10-28",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "FIRE CHIEF/EMT",
"authorized_official_telephone_number": "501-745-2495",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "AR",
"license": "165",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133156715",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leslie, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.