Organization Active NPI

SMH Ambulance Service

  • Ambulance
  • Benton, AR
National Provider Identifier
1932340221
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0395 Issued in AR
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

Updated by the provider on Dec 2, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
47310OtherARBCBS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.