Emergency Ambulance Service of Arkansas, Inc.

Primary specialty

ParamedicTaxonomy code 146L00000X

License

407 Issued in AR

Legal business name

EMERGENCY AMBULANCE SERVICE OF ARKANSAS, INC.

Practice address

1653 S Highway 65 82
Lake Village, AR 71653-1661

Phone

(870) 536-0734

Fax

(870) 534-8378

NPI assigned

Nov 4, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Len Palmisano

Title

Cfo

Phone

(870) 536-0734

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Emergency Ambulance Service, Inc.

  • Paramedic
  • Pine Bluff, AR
  • NPI 1396736559

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1710978978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5099",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716115099",
            "telephone_number": "870-536-0734",
            "fax_number": "870-534-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 S HIGHWAY 65 82",
            "city": "LAKE VILLAGE",
            "state": "AR",
            "postal_code": "716531661",
            "telephone_number": "870-536-0734",
            "fax_number": "870-534-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY AMBULANCE SERVICE OF ARKANSAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "PALMISANO",
        "authorized_official_first_name": "LEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "870-536-0734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "AR",
            "license": "407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154526715",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharecka Davis
• Dayspring Services of Arkansas LLC
• Nina E Deal, FNP-C
• Laniece Edwards
• Misty Kaye Ellerbe, OT
• Kelli Jean Fairris, M.S.E., L.P.C
• Edith Fava
• Douglas Errol Fleming II, PT
• Laura Brooke Flemister-Smith
• Tiffany Denise Fox, OT-A

• Paramedic in Lake Village, AR
• Providers in Lake Village, AR by specialty
• Paramedic in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.