Edica Evans

Individual provider Active NPI Non-emergency Medical Transport (VAN) · Forrest City, AR

NPI 1508565664 · NPPES record last updated Mar 3, 2023

Key facts

NPI
1508565664
Entity type
Individual (NPI type 1)
Primary specialty
Non-emergency Medical Transport (VAN) 343900000X
Practice address
5042 Highway 284
Forrest City, AR 72335-7681
Phone
(870) 995-1657
NPI assigned
Feb 27, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Safe and Sound Transportation Non-Emergency Medical Transport (Van) Current
since Feb 25, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X AR Yes

Addresses

Primary practice location

5042 Highway 284
Forrest City, AR 72335-7681

Mailing address

5042 Highway 284
Forrest City, AR 72335-7681
Phone (870) 995-1657

Other providers in Forrest City, AR

All providers in Forrest City, AR · Non-emergency Medical Transport (VAN) in Arkansas

Sources for this page

Verify at the official NPI Registry.