Southern Care, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SOUTHERN CARE, INC

Practice address

669 Falls Blvd N
Wynne, AR 72396-2613

Phone

(870) 734-3366

Fax

(870) 589-2206

NPI assigned

Aug 19, 2006

Last updated

Oct 9, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christeena Ross

Title

Billing Manager

Phone

(870) 734-3366

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1912012337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88",
            "city": "BRINKLEY",
            "state": "AR",
            "postal_code": "720210088",
            "telephone_number": "870-734-3366",
            "fax_number": "870-589-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 FALLS BLVD N",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723962613",
            "telephone_number": "870-734-3366",
            "fax_number": "870-589-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "CHRISTEENA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "870-734-3366"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150052715",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.