Organization Active NPI

City of Bald Knob

Doing business as Bald Knob Volunteer Ambulance Service

  • Land Ambulance
  • Bald Knob, AR
National Provider Identifier
1689898330
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0263 Issued in AR
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.