Elite Endevors

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

ELITE ENDEVORS

Doing business as

MedStar EMS

Practice address

129 Marie Dr
Pottsville, AR 72858-8737

Phone

(479) 414-0633

NPI assigned

Apr 23, 2018

Last updated

Apr 23, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric Street

Title

Secretary

Phone

(479) 414-0633

Specialties & licenses 1

Addresses

Other names 1

• MedStar EMS Doing business as

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1811485121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 MARIE DR",
            "city": "POTTSVILLE",
            "state": "AR",
            "postal_code": "728588737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 MARIE DR",
            "city": "POTTSVILLE",
            "state": "AR",
            "postal_code": "728588737",
            "telephone_number": "479-414-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE ENDEVORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "STREET",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "479-414-0633"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedStar EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clint Bell, PHARM.D.
• Laurie Marie Bell, PHARMD
• Bold Dental Pottsville
• Conway Regional Medical Center Inc. (Conway Regional Medical Clinic-Pottsville)
• Counseling Centers of Arkansas Inc
• Jessica Cherry Fincher, MS, OTR/L
• Leslie Nanette French, MSW
• Heather Hallum, LPC
• Hamilton Hugh Holdings, PLLC (D. Blaine Leeds, D.D.S.)
• Brittany Morgan Hardin, M.S., CCC/SLP

• Ambulance in Pottsville, AR
• Providers in Pottsville, AR by specialty
• Ambulance in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.