Area Agency on Aging of Western Ar, Inc

Organization Active NPI Non-emergency Medical Transport (VAN) · Russellville, AR

NPI 1851358832 · NPPES record last updated Oct 3, 2007

Key facts

NPI
1851358832
Entity type
Organization (NPI type 2)
Primary specialty
Non-emergency Medical Transport (VAN) 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
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 21

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

National Provider Directory

Tax ID family
Area Agency on Aging of Western Ar Inc (23 organizations share this tax ID)

Locations

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

Specialties & licenses

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

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

Other providers in Russellville, AR

All providers in Russellville, AR · Non-emergency Medical Transport (VAN) in Arkansas

Sources for this page

Verify at the official NPI Registry.