Organization Active NPI

Yell County EMS

  • Land Ambulance
  • Danville, AR
National Provider Identifier
1760410278
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
832 Issued in AR
Legal business name
YELL COUNTY EMS
Practice address
1007 E 8TH St
Danville, AR 72833-8801
Phone
(479) 495-7831
Fax
(479) 495-7390
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Authorized official

Name
Mr. Sidney L Ward, DIRECTOR
Title
Director
Phone
(479) 495-7831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 832 AR Primary

Addresses

Primary practice location

1007 E 8TH St
Danville, AR 72833-8801

Mailing address

1007 E 8TH St
Danville, AR 72833-8801
Phone (479) 495-7831

Other identifiers 3

IdentifierTypeStateIssuer
106609715MedicaidAR
172202900OtherFEDERAL WORKS COMP
590083464OtherPALMETTO

Other names 1

  • Yell County Ambulance Service Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D0884811Yell County EMS1007 East 8TH Street, Danville, AR 72833Certificate of waiverApr 10, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1760410278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 E 8TH ST",
            "city": "DANVILLE",
            "state": "AR",
            "postal_code": "728338801",
            "telephone_number": "479-495-7831",
            "fax_number": "479-495-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 E 8TH ST",
            "city": "DANVILLE",
            "state": "AR",
            "postal_code": "728338801",
            "telephone_number": "479-495-7831",
            "fax_number": "479-495-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELL COUNTY EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "479-495-7831",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AR",
            "license": "832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106609715",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORKS COMP",
            "identifier": "172202900",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "590083464",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yell County Ambulance Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Danville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.