Active NPI
City of Bald Knob
Doing business as Bald Knob Volunteer Ambulance Service
- Land Ambulance
- Bald Knob, AR
National Provider Identifier
1689898330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0263
- Legal business name
- CITY OF BALD KNOB
- Doing business as
- Bald Knob Volunteer Ambulance Service
- Practice address
- 3713 Hwy 367 N
Bald Knob, AR 72010 - Phone
- (501) 724-6897
- Fax
- (501) 724-3439
- NPI assigned
- Apr 12, 2007
- Last updated
- Aug 22, 2020
- 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
- Bertie Yates, EMT
- Title
- Office Manager
- Phone
- (501) 724-6897
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0263 | AR | Primary |
Addresses
Primary practice location
3713 Hwy 367 N
Bald Knob, AR 72010
Mailing address
PO Box 671
Bald Knob, AR 72010-0671
Phone (501) 724-6897
Other names 1
- Bald Knob Volunteer Ambulance Service
National Provider Directory
National Provider DirectoryLocations
3713 Highway 367 N
Bald Knob, AR 72010
Phone (501) 724-6897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1689898330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 671",
"city": "BALD KNOB",
"state": "AR",
"postal_code": "720100671",
"telephone_number": "501-724-6897",
"fax_number": "501-724-3439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3713 HWY 367 N",
"city": "BALD KNOB",
"state": "AR",
"postal_code": "72010",
"telephone_number": "501-724-6897",
"fax_number": "501-724-3439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF BALD KNOB",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "YATES",
"authorized_official_first_name": "BERTIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "501-724-6897",
"authorized_official_credential": "EMT"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "AR",
"license": "0263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bald Knob Volunteer Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bald Knob, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.