Organization Active NPI

Trumann Ambulance Service

  • Land Ambulance
  • Trumann, AR
National Provider Identifier
1376606053
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0635 Issued in AR
Legal business name
TRUMANN AMBULANCE SERVICE
Practice address
408 Jaden Cove
Trumann, AR 72472
Phone
(870) 483-6441
Fax
(870) 483-7840
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Authorized official

Name
Kimberly Dawn Watkins
Title
President
Phone
(870) 483-6441

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0635 AR Primary
Land Ambulance 3416L0300X 0636 AR

Addresses

Primary practice location

408 Jaden Cove
Trumann, AR 72472

Mailing address

PO Box 81
Trumann, AR 72472-0081
Phone (870) 483-6441

Other identifiers 3

IdentifierTypeStateIssuer
0636OtherARSERVICE LICENSE FOR AR
164382715MedicaidAR
0635OtherARSERVICE LICENSE FOR AR

National Provider Directory

National Provider Directory

Locations

305 W Main St
Trumann, AR 72472
Phone (870) 483-3937

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1376606053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81",
            "city": "TRUMANN",
            "state": "AR",
            "postal_code": "724720081",
            "telephone_number": "870-483-6441",
            "fax_number": "870-483-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 JADEN COVE",
            "city": "TRUMANN",
            "state": "AR",
            "postal_code": "72472",
            "telephone_number": "870-483-6441",
            "fax_number": "870-483-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUMANN AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-483-6441"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AR",
            "license": "0635",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AR",
            "license": "0636",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SERVICE LICENSE FOR AR",
            "identifier": "0636",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164382715",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SERVICE LICENSE FOR AR",
            "identifier": "0635",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumann, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.