Active NPI
SMH Ambulance Service
- Ambulance
- Benton, AR
National Provider Identifier
1932340221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 0395
- Legal business name
- SMH AMBULANCE SERVICE
- Practice address
- 1 Medical Park Dr
Benton, AR 72015-3353 - Phone
- (501) 776-6000
- Fax
- (501) 776-6048
- NPI assigned
- Mar 16, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Larry Don Alford
- Title
- Cfo
- Phone
- (501) 776-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 0395 | AR | Primary |
Addresses
Primary practice location
1 Medical Park Dr
Benton, AR 72015-3353
Mailing address
PO Box 9150
Paducah, KY 42002-9150
Phone (270) 744-9600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47310 | Other | AR | BCBS |
National Provider Directory
National Provider DirectoryLocations
1420 Highway 5 N
Benton, AR 72019
Phone (501) 794-2028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291248000000",
"number": "1932340221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9150",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420029150",
"telephone_number": "270-744-9600",
"fax_number": "270-744-0834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK DR",
"city": "BENTON",
"state": "AR",
"postal_code": "720153353",
"telephone_number": "501-776-6000",
"fax_number": "501-776-6048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMH AMBULANCE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-16",
"last_updated": "2010-12-02",
"status": "A",
"authorized_official_last_name": "ALFORD",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "DON",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "501-776-6000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "AR",
"license": "0395",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "47310",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.