Active NPI
Fort Smith Emergency Medical Services
Doing business as Ft Smith EMS
- Ambulance
- Fort Smith, AR
National Provider Identifier
1609886522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 0727
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105862715 | Medicaid | AR |
Other names 1
- Ft Smith EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Paramedic
- Fort Smith, AR
- NPI 1487631305
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
- Fort Smith Cataract & Laser Center LLC (Fianna Hills Surgery Center)
- Fort Smith Children's Emergency Shelter, Inc.
- Fort Smith Dialysis Supply Company
- Fort Smith Emergency Hospital, LLC
- Fort Smith Emergency Medical Services
- Fort Smith Ep, PLLC
- Fort Smith Eye Specialists, PLLC (Renner Eye Care)
- Fort Smith Hand Therapy LLC
- Fort Smith Hma Home Health (Sparks Regional Medical Center Home Health)
- Fort Smith Hma Home Health, LLC (Access Home Health)
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.