Liberty EMS Service LLC
Organization Active NPI Land Ambulance · Waldron, AR
NPI 1821418922 · NPPES record last updated Mar 2, 2026
Key facts
- NPI
- 1821418922
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- LIBERTY EMS SERVICE LLC
- Practice address
- 316 Featherston St
Waldron, AR 72958-8337 - Phone
- (501) 551-1486
- NPI assigned
- Apr 16, 2014
- Organization subpart
- No
Authorized official
- Name
- Jeffrey Diivne
- Title
- Owner
- Phone
- (501) 551-1486
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140605000643 | AR | Part B Supplier - Ambulance Service Supplier | 6204050651 | Practice locations: Waldron, AR |
National Provider Directory
Locations
1402B Highway 71 S
Mena, AR 71953
Phone (479) 394-3540
157 Houston Ave
Perryville, AR 72126
Phone (501) 889-5749
316 Featherston St
Waldron, AR 72958
Phone (501) 516-4766
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
316 Featherston St
Waldron, AR 72958-8337
Mailing address
316 Featherston St
Waldron, AR 72958-8337
Phone (479) 227-9888
Other names
- Liberty EMS
Other providers in Waldron, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.