Liberty EMS Service LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LIBERTY EMS SERVICE LLC

Doing business as

Liberty EMS

Practice address

316 Featherston St
Waldron, AR 72958-8337

Phone

(501) 551-1486

NPI assigned

Apr 16, 2014

Last updated

Mar 2, 2026By 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

Jeffrey Diivne

Title

Owner

Phone

(501) 551-1486

Specialties & licenses 2

Addresses

Other names 1

• Liberty EMS Doing business as

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": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1821418922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 FEATHERSTON ST",
            "city": "WALDRON",
            "state": "AR",
            "postal_code": "729588337",
            "telephone_number": "479-227-9888",
            "fax_number": "479-542-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 FEATHERSTON ST",
            "city": "WALDRON",
            "state": "AR",
            "postal_code": "729588337",
            "telephone_number": "501-551-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY EMS SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "DIIVNE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-551-1486"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Liberty EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tonya Hillier, RN
• Amy Hitchcock, LCSW
• Elizabeth A Hutson, MD
• Kah Development 4, LLC (CenterWell Home Health)
• Kaitlin Kluck, RN
• Maria Mason, M.D.
• Elizabeth Anne McCann, FNP-BC
• Mercy Hospital Waldron
• Mercy Hospital Waldron
• Mercy Hospital Waldron

• Land Ambulance in Waldron, AR
• Providers in Waldron, AR by specialty
• Land Ambulance in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.