Organization Active NPI

City of Russellville Office of City

  • Ambulance
  • Russellville, AR
National Provider Identifier
1881319507
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CITY OF RUSSELLVILLE OFFICE OF CITY
Practice address
107 N El Paso Ave
Russellville, AR 72801-3719
Phone
(479) 968-2332
Fax
(479) 967-2087
NPI assigned
Oct 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Steven Harold Perry, PARAMEDIC
Title
Division Chief of EMS
Phone
(479) 968-2332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

107 N El Paso Ave
Russellville, AR 72801-3719

Mailing address

107 N El Paso Ave
Russellville, AR 72801-3719
Phone (479) 968-2332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230216002895 AR Part B Supplier - Ambulance Service Supplier 4183096381 Practice locations: Russellville, AR

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2270158City of Russellville107 N El Paso Avenue, Russellville, AR 72801Certificate of waiverOct 10, 2026

National Provider Directory

National Provider Directory

Locations

107 N El Paso Ave
Russellville, AR 72801
Phone (479) 968-2332

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1881319507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N EL PASO AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013719",
            "telephone_number": "479-968-2332",
            "fax_number": "479-967-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N EL PASO AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013719",
            "telephone_number": "479-968-2332",
            "fax_number": "479-967-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF RUSSELLVILLE OFFICE OF CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "DIVISION CHIEF OF EMS",
        "authorized_official_telephone_number": "479-968-2332",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "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 Jul 17, 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.