City of Eureka Springs

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0134 Issued in AR

Legal business name

CITY OF EUREKA SPRINGS

Practice address

146 E Van Buren
Eureka Springs, AR 72632-8800

Phone

(479) 253-9616

Fax

(479) 253-9006

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Eddie Davis, EMT-P

Title

Chief

Phone

(479) 253-9616

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eureka Springs Fire Deparment Other name

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1770509945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 E VAN BUREN",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726328800",
            "telephone_number": "479-253-9616",
            "fax_number": "479-253-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 E VAN BUREN",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726328800",
            "telephone_number": "479-253-9616",
            "fax_number": "479-253-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF EUREKA SPRINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "479-253-9616",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AR",
            "license": "0134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101378715",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eureka Springs Fire Deparment",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Behavioral Health Programs
• Dan Bell
• Marc Edwin Borton, MD
• Boston Mountain Rural Health Center, Inc
• Stacey A Burnett, MD
• Rebekah Jo Clark, MMT, BCTMB
• Common Sense Therapy
• Community and Governmental Consultants Inc
• Community and Governmental Consultants Inc.
• Compassionate Changes Counseling

• Land Ambulance in Eureka Springs, AR
• Providers in Eureka Springs, AR by specialty
• Land Ambulance in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.