Southeast Emergency Medical Service, Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0420 Issued in AR

Legal business name

SOUTHEAST EMERGENCY MEDICAL SERVICE, INC

Practice address

503 W Gaines St
Monticello, AR 71655-4637

Phone

(870) 367-2300

Fax

(870) 367-5062

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Lyle Welch

Title

President

Phone

(870) 367-2300

Specialties & licenses 1

Addresses

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": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841242435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 714",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716570714",
            "telephone_number": "870-367-2300",
            "fax_number": "870-367-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 W GAINES ST",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554637",
            "telephone_number": "870-367-2300",
            "fax_number": "870-367-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST EMERGENCY MEDICAL SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "LYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-367-2300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AR",
            "license": "0420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Arkansas Rehabilitation, Inc.
• Southeast Arkansas Pharmacies LLC
• Southeast Arkansas Pharmacies LLC
• Southeast Clinic
• Southeast Education Service Coop
• Southern Roots Medical Essentials
• Specialty Eyecare of South Arkansas LLC
• Charles M Spellmann, PHD
• Anita Mariette Spence, LPN
• Christopher Spencer

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.