Organization Active NPI

Metro Ambulance Service Inc

Doing business as American Medical Response

  • Ambulance
  • Rogers, AR
National Provider Identifier
1578647475
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
METRO AMBULANCE SERVICE INC
Doing business as
American Medical Response
Practice address
2303 S 8TH St
Suite B
Rogers, AR 72758-1012
Phone
(479) 986-9866
Fax
(479) 986-8096
NPI assigned
Oct 25, 2006
Last updated
Oct 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Authorized official

Name
Mark Bruning
Title
Executive Vice President
Phone
(303) 495-1220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary

Addresses

Primary practice location

2303 S 8TH St
Suite B
Rogers, AR 72758-1012

Mailing address

PO Box 847925
Dallas, TX 75284-7925

Other identifiers 2

IdentifierTypeStateIssuer
164389715MedicaidAR
AR0000D100477OtherARSECTION 1011

Other names 1

  • American Medical Response Doing business as

National Provider Directory

National Provider Directory

Locations

2303 S 8th St
Ste B
Rogers, AR 72758
Phone (479) 986-9866

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1578647475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847925",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 S 8TH ST",
            "address_2": "SUITE B",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581012",
            "telephone_number": "479-986-9866",
            "fax_number": "479-986-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "BRUNING",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "303-495-1220"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164389715",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECTION 1011",
            "identifier": "AR0000D100477",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Medical Response",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.