Washington County Regional Ambulance Authority

Primary specialty

AmbulanceTaxonomy code 341600000X

License

195 Issued in AR

Legal business name

WASHINGTON COUNTY REGIONAL AMBULANCE AUTHORITY

Doing business as

Central EMS

Practice address

645 S School Ave
Fayetteville, AR 72701-6470

Phone

(479) 521-5801

Fax

(479) 521-1690

NPI assigned

Jul 11, 2008

Last updated

Jul 11, 2008By 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

Mr. Charles D Hudson II

Title

Officer

Phone

(479) 521-5801

Specialties & licenses 1

Addresses

Other names 1

• Central EMS 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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• County of Washington

  dba Washington County HIV Clinic

  • Family Medicine Physician
  • Fayetteville, AR
  • NPI 1053476606

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1972767630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 S SCHOOL AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727016470",
            "telephone_number": "479-521-5801",
            "fax_number": "479-521-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 S SCHOOL AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727016470",
            "telephone_number": "479-521-5801",
            "fax_number": "479-521-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON COUNTY REGIONAL AMBULANCE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "479-521-5801",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AR",
            "license": "195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Joseph Warren
• Dennis Joe Warren, D.C.
• Jenna Kaye Waselues, D.D.S.
• Laura E Washburn
• Washington County Home Health Care Inc. (Alliance Home Health)
• Washington Regional Medical Center
• Washington Regional Medical Center
• Washington Regional Medical Center
• Washington Regional Medical Center (Washington Regional Home Health)
• Washington Regional Medical Center (Washington Regiona Medical Center Mobile Dental Clinic)

• Ambulance in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Ambulance in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.