City of Tuckerman Recorder Treasurer

Primary specialty

AmbulanceTaxonomy code 341600000X

License

239 Issued in AR

Legal business name

CITY OF TUCKERMAN RECORDER TREASURER

Doing business as

City of Tuckerman Volunteer Ambulance Services

Practice address

201 Main Street
Tuckerman, AR 72473-0779

Phone

(870) 349-5212

NPI assigned

Sep 15, 2008

Last updated

Mar 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wroten S Koller, CHIEF

Title

Chief

Phone

(870) 349-5212

Specialties & licenses 1

Addresses

Other names 1

• City of Tuckerman Volunteer Ambulance Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimeron Brody Hubbard, PARAMEDIC

  • Paramedic
  • Newport, AR
  • NPI 1063290278
  NPD

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1679722664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641880",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681647880",
            "telephone_number": "402-572-4019",
            "fax_number": "402-991-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MAIN STREET",
            "city": "TUCKERMAN",
            "state": "AR",
            "postal_code": "724730779",
            "telephone_number": "870-349-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF TUCKERMAN RECORDER TREASURER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "KOLLER",
        "authorized_official_first_name": "WROTEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "870-349-5212",
        "authorized_official_credential": "CHIEF"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AR",
            "license": "239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Tuckerman Volunteer Ambulance Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Browning Gates, PT1688
• Autumn Christopher
• City Drug Store
• Anne French, RN
• Juan Gonzalez
• Leslie Hall
• Nicholas Lee Haywood
• Kyndale Honey-Williams

• Ambulance in Tuckerman, AR
• Providers in Tuckerman, AR by specialty
• Ambulance in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.