Spring River Paramedic Ambulance Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0230 Issued in AR

Legal business name

SPRING RIVER PARAMEDIC AMBULANCE SERVICE INC

Practice address

4 Navajo Ctr
Cherokee Village, AR 72529-7610

Phone

(870) 994-0790

Fax

(870) 994-0792

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Jennine M Eash

Title

Business Operations Director

Phone

(870) 994-0790

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1831272145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 NAVAJO CTR",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "725297610",
            "telephone_number": "870-994-0790",
            "fax_number": "870-994-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NAVAJO CTR",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "725297610",
            "telephone_number": "870-994-0790",
            "fax_number": "870-994-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING RIVER PARAMEDIC AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "EASH",
        "authorized_official_first_name": "JENNINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "870-994-0790"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AR",
            "license": "0230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO MEDICAID",
            "identifier": "801640806",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105964715",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3416L0300X",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank M Schmidt, PD
• Kylie Severn
• Linda Jo Simmons, MHPP
• Nicole Skidmore, MHPP
• Donna Smith, LPN, MHPP
• Christine Studebaker, PTA
• Robin Stuntz-Christian, LAC
• Sun Kyss Glo
• Sun Kyss Glo LLC
• Miranda Swiatkowski, MHPP

• Land Ambulance in Cherokee Village, AR
• Providers in Cherokee Village, AR by specialty
• Land Ambulance in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.