Organization Active NPI

Central Emergency Medical Service, Inc.

  • Ambulance
  • Fayetteville, AR
National Provider Identifier
1396847166
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
146 Issued in AR
Legal business name
CENTRAL EMERGENCY MEDICAL SERVICE, INC.
Practice address
645 S School Ave
Fayetteville, AR 72701-6470
Phone
(479) 521-5801
Fax
(479) 521-1690
NPI assigned
Sep 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Authorized official

Name
Mr. Charles A Hickerson
Title
Chief Financial Officer
Phone
(479) 521-5801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 146 AR Primary

Addresses

Primary practice location

645 S School Ave
Fayetteville, AR 72701-6470

Mailing address

645 S School Ave
Fayetteville, AR 72701-6470
Phone (479) 521-5801

Other identifiers 3

IdentifierTypeStateIssuer
807826102MedicaidMO
100817780AMedicaidOK
106403715MedicaidAR

Other names 1

  • CENTRAL EMS Other name

National Provider Directory

National Provider Directory

Locations

645 S School Ave
Fayetteville, AR 72701
Phone (479) 521-5801

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1396847166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 S SCHOOL AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727016470",
            "telephone_number": "479-521-5801",
            "fax_number": "479-521-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 S SCHOOL AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727016470",
            "telephone_number": "479-521-5801",
            "fax_number": "479-521-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL EMERGENCY MEDICAL SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "HICKERSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "479-521-5801",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AR",
            "license": "146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807826102",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100817780A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106403715",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.