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 IDStateProvider typePAC IDDetails
O20091028000034 AR Part B Supplier - Ambulance Service Supplier 7618014408 Practice locations: Leslie, AR

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
133156715MedicaidAR

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 28, 2009.

{
    "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

All providers in Leslie, AR · Ambulance in Arkansas

Sources for this page

Verify at the official NPI Registry.