Active NPI
Southern Medical Transportation LLC
- Non-emergency Medical Transport (VAN)
- Osceola, AR
National Provider Identifier
1417411570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- SOUTHERN MEDICAL TRANSPORTATION LLC
- Practice address
- 922 West Kizer St.
Osceola, AR 72370 - Phone
- (870) 563-0737
- NPI assigned
- Jan 23, 2019
- Last updated
- Jan 23, 2019
- 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
- Robert Blake Butler
- Title
- Owner
- Phone
- (870) 563-0737
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
922 West Kizer St.
Osceola, AR 72370
Mailing address
922 West Kizer St.
Osceola, AR 72370
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548201600000",
"number": "1417411570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 WEST KIZER ST.",
"city": "OSCEOLA",
"state": "AR",
"postal_code": "72370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "922 WEST KIZER ST.",
"city": "OSCEOLA",
"state": "AR",
"postal_code": "72370",
"telephone_number": "870-563-0737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN MEDICAL TRANSPORTATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-23",
"last_updated": "2019-01-23",
"status": "A",
"authorized_official_last_name": "BUTLER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "BLAKE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-563-0737"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Osceola, AR
- Christy Shemprt
- Alyssa Sikora, LMSW
- SMC Regional Medical Center
- SMC Regional Medical Center LLC
- SMC-Mississippi County Hospital System (SMC Regional Medical Center)
- St. Bernards Hospital Inc. (St, Bernards Medical Center- Osceola Dialysis)
- Jessica Standford
- Star Pharmacy Inc
- State of Arkansas (Mississippi County Health Unit Osceola)
- April Stiles, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.