Organization Active NPI

City of Des Arc Office of City Clerk

  • Land Ambulance
  • Des Arc, AR
National Provider Identifier
1497975767
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
346 Issued in AR
Legal business name
CITY OF DES ARC OFFICE OF CITY CLERK
Practice address
107 3Rd St S
Des Arc, AR 72040
Phone
(870) 256-4316
Fax
(870) 256-4612
NPI assigned
Apr 27, 2007
Last updated
Mar 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Christy Bell, EMT-B
Title
Director
Phone
(870) 256-4316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 346 AR Primary

Addresses

Primary practice location

107 3Rd St S
Des Arc, AR 72040

Mailing address

107 3Rd St S
Des Arc, AR 72040
Phone (870) 256-4316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110311000264 AR Part B Supplier - Ambulance Service Supplier 9638351687 Practice locations: Des Arc, AR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1497975767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 3RD ST S",
            "city": "DES ARC",
            "state": "AR",
            "postal_code": "72040",
            "telephone_number": "870-256-4316",
            "fax_number": "870-256-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 3RD ST S",
            "city": "DES ARC",
            "state": "AR",
            "postal_code": "72040",
            "telephone_number": "870-256-4316",
            "fax_number": "870-256-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF DES ARC OFFICE OF CITY CLERK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "870-256-4316",
        "authorized_official_credential": "EMT-B"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AR",
            "license": "346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Arc, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.