Active NPI
Trumann Ambulance Service
- Land Ambulance
- Trumann, AR
National Provider Identifier
1376606053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0635
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0636 | Other | AR | SERVICE LICENSE FOR AR |
| 164382715 | Medicaid | AR | |
| 0635 | Other | AR | SERVICE LICENSE FOR AR |
National Provider Directory
National Provider DirectoryLocations
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.