NPIMap

Organization Active NPI

City of Tyronza, Ark

  • Ambulance
  • Tyronza, AR
National Provider Identifier
1639375306
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
621 Issued in AR
Legal business name
CITY OF TYRONZA, ARK
Practice address
200 S Main
Tyronza, AR 72386
Phone
(870) 487-2168
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Authorized official

Name
Mrs. Donna D Wood
Title
Recorder/Treasurer
Phone
(870) 487-2168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 621 AR Primary

Addresses

Primary practice location

200 S Main
Tyronza, AR 72386

Mailing address

200 S Main
Tyronza, AR 72386
Phone (870) 487-2168

Other identifiers 1

IdentifierTypeStateIssuer
120890715MedicaidAR

Other names 1

  • TYRONZA VOLUNTEER FIRE DEPARTMENT Doing business as

National Provider Directory

National Provider Directory

Locations

200 S Main St
Tyronza, AR 72386
Phone (870) 487-2168

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1639375306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MAIN",
            "city": "TYRONZA",
            "state": "AR",
            "postal_code": "72386",
            "telephone_number": "870-487-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S MAIN",
            "city": "TYRONZA",
            "state": "AR",
            "postal_code": "72386",
            "telephone_number": "870-487-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF TYRONZA, ARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "RECORDER/TREASURER",
        "authorized_official_telephone_number": "870-487-2168",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AR",
            "license": "621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120890715",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TYRONZA VOLUNTEER FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyronza, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.