Organization Active NPI

Fort Smith Emergency Medical Services

Doing business as Ft Smith EMS

  • Ambulance
  • Fort Smith, AR
National Provider Identifier
1609886522
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0727 Issued in AR
Legal business name
FORT SMITH EMERGENCY MEDICAL SERVICES
Doing business as
Ft Smith EMS
Practice address
3417 Duke Ave
Fort Smith, AR 72908-8313
Phone
(479) 783-1078
Fax
(479) 783-2913
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Mrs. Jennifer Charlene Foughty
Title
Office Manager
Phone
(479) 783-1078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0727 AR Primary

Addresses

Primary practice location

3417 Duke Ave
Fort Smith, AR 72908-8313

Mailing address

PO Box 180010
Fort Smith, AR 72918-8313
Phone (479) 783-1078

Other identifiers 1

IdentifierTypeStateIssuer
105862715MedicaidAR

Other names 1

  • Ft Smith EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091203000064 AR Part B Supplier - Ambulance Service Supplier 2769521863 Practice locations: Barling, AR; Fort Smith, AR

National Provider Directory

National Provider Directory
Tax ID family
Fort Smith Emergency Medical Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1219 Fort St
Barling, AR 72923
Phone (479) 783-1078

9000 Highway 71 S
Fort Smith, AR 72908
Phone (479) 227-5551

3417 Duke Ave
Fort Smith, AR 72908
Phone (479) 783-1078

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1609886522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180010",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729188313",
            "telephone_number": "479-783-1078",
            "fax_number": "479-783-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 DUKE AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088313",
            "telephone_number": "479-783-1078",
            "fax_number": "479-783-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT SMITH EMERGENCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "FOUGHTY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "CHARLENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "479-783-1078",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AR",
            "license": "0727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105862715",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ft Smith EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.