Pine Snag-Lobo Fire Association Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

206 Issued in AR

Legal business name

PINE SNAG-LOBO FIRE ASSOCIATION INC

Practice address

3524 Pangburn Rd
Heber Springs, AR 72543-8378

Phone

(501) 250-3202

NPI assigned

Jan 13, 2015

Organization subpart

No

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

Authorized official

Name

Scott Cresswell, EMT-B

Title

Chief

Phone

(501) 250-3202

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1538558697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RIVER BLUFF RD",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725438254",
            "telephone_number": "501-250-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 PANGBURN RD",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725438378",
            "telephone_number": "501-250-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE SNAG-LOBO FIRE ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "CRESSWELL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "501-250-3202",
        "authorized_official_credential": "EMT-B"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AR",
            "license": "206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Heber Springs, AR
• Providers in Heber Springs, AR by specialty
• Land Ambulance in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.