City of Bentonville

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CITY OF BENTONVILLE

Doing business as

Bentonville Ambulance
Bentonville Fire Department

Practice address

800 SW a St
Bentonville, AR 72712-6225

Phone

(479) 271-3151

Fax

(501) 438-4232

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Lora Deleon

Title

Billing Administrator

Phone

(479) 379-1630

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Bentonville Ambulance Doing business as
• Bentonville Fire Department Doing business as

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1871611459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SW A ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126225",
            "telephone_number": "479-271-3151",
            "fax_number": "501-438-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SW A ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126225",
            "telephone_number": "479-271-3151",
            "fax_number": "501-438-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BENTONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "DELEON",
        "authorized_official_first_name": "LORA",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "479-379-1630"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101151715",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bentonville Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bentonville Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bentonville Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela J Chrisco, APN
• Taylor Morgan Christie, PA-C, RDN, IFMCP
• Sunshine Christman, MHPP
• Anthony Christopher
• Grace Ann Church, M.S., CCC-SLP
• Amber Clark, LPC
• Amberly Clark, DPT
• Audrey Clark
• Haley Clark, MHPP
• Juniorette M Clark

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.