Carmon Boykins
Individual provider Active NPI Non-emergency Medical Transport (VAN) · Jacksonville, AR
NPI 1689436149 · NPPES record last updated Jan 29, 2024
Key facts
- NPI
- 1689436149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- License
- 905687543 (AR)
- Practice address
- 1405 Mill Rd
Jacksonville, AR 72076-8967 - Phone
- (501) 457-1226
- NPI assigned
- Jan 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 905687543 | AR | MD | Non-emergency Medical Transport (VAN) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 905687543 | AR | Yes |
Addresses
Primary practice location
1405 Mill Rd
Jacksonville, AR 72076-8967
Mailing address
1405 Mill Rd
Jacksonville, AR 72076-8967
Phone (501) 457-1226
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All providers in Jacksonville, AR · Non-emergency Medical Transport (VAN) in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.