Emergency Ambulance Service, Inc.

Primary specialty

ParamedicTaxonomy code 146L00000X

License

459 Issued in AR

Legal business name

EMERGENCY AMBULANCE SERVICE, INC.

Practice address

116 University Dr
Pine Bluff, AR 71601-3306

Phone

(870) 536-0734

Fax

(870) 534-8378

NPI assigned

Nov 4, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Len Palmisano

Title

Cfo

Phone

(870) 536-0734

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Emergency Ambulance Service of Arkansas, Inc.

  • Paramedic
  • Lake Village, AR
  • NPI 1710978978

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1396736559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5099",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716115099",
            "telephone_number": "870-536-0734",
            "fax_number": "870-534-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 UNIVERSITY DR",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716013306",
            "telephone_number": "870-536-0734",
            "fax_number": "870-534-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "PALMISANO",
        "authorized_official_first_name": "LEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "870-536-0734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "AR",
            "license": "459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101581715",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Ellison, LPN
• Khi Ellison
• Joseph Elser, MD
• Abeer Elshaikh
• Mohamed Elsherief, MD
• Kristi Enis, PT
• Elizabeth Eoff, M.D.
• Sarenthia Monet Epps, M.D.
• Eragon Precision Health LLC (Eragon Health Solutions LLC)
• Etherco Anesthesia PLLC

• Paramedic in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Paramedic in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.

Verify at the official NPI Registry.