NPIMap

Organization Active NPI

Area Agency on Aging of Western Ar, Inc

  • Non-emergency Medical Transport (VAN)
  • Russellville, AR
National Provider Identifier
1851358832
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
AREA AGENCY ON AGING OF WESTERN AR, INC
Practice address
116 E 10TH St
Russellville, AR 72801-6027
Phone
(479) 968-9618
NPI assigned
Apr 26, 2006
Last updated
Oct 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Authorized official

Name
Lisa Rushing
Title
Supervisor of Corporate Services
Phone
(479) 783-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

116 E 10TH St
Russellville, AR 72801-6027

Mailing address

524 Garrison Ave
PO Box 1724
Fort Smith, AR 72901-2514

National Provider Directory

National Provider Directory
Tax ID family
Hartford Medical Clinic23 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

116 E 10th St
Russellville, AR 72801
Phone (479) 968-9618

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1851358832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 GARRISON AVE",
            "address_2": "PO BOX 1724",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729012514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E 10TH ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728016027",
            "telephone_number": "479-968-9618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AREA AGENCY ON AGING OF WESTERN AR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "RUSHING",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "SUPERVISOR OF CORPORATE SERVICES",
        "authorized_official_telephone_number": "479-783-4500"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.