City of Crossett

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

488 Issued in AR

Legal business name

CITY OF CROSSETT

Practice address

309 Main Street
Crossett, AR 71635

Phone

(870) 364-4134

Fax

(870) 364-5634

NPI assigned

Jun 13, 2006

Organization subpart

No

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

Authorized official

Name

Todd FreemanNPI 1639150147

Title

Assistant Chief

Phone

(870) 364-4134

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Crossett Fire Dept/Crossett Ambulance Service 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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd J Freeman, MD

  • Otolaryngology Physician
  • Duluth, MN
  • NPI 1639150147
  NPD Authorized official

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1891738548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716350560",
            "telephone_number": "870-364-4134",
            "fax_number": "870-364-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 MAIN STREET",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "71635",
            "telephone_number": "870-364-4134",
            "fax_number": "870-364-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CROSSETT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "ASSISTANT CHIEF",
        "authorized_official_telephone_number": "870-364-4134"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AR",
            "license": "488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100954715",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS & ALL OTHER INSURANC",
            "identifier": "47077",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossett Fire Dept/Crossett Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carousel School
• Makayla Carter, PHARMD
• Carolyn Sue Cathey
• Child'S Play Therapy Services of Arkansas, PLLC
• Hannah Christmas
• City Rexall Drug Pharmacy
• Jacquelyn Sue Grace Clark, DO
• Community Compassion Stonegate
• Complete Integrated Healthcare LLC
• Continuum, LLC

• Land Ambulance in Crossett, AR
• Providers in Crossett, AR by specialty
• Land Ambulance in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.