Elite Medical Services, Inc.
Organization Active NPI Land Ambulance · Eudora, AR
NPI 1992777312 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1992777312
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 0470 (AR)
- Legal business name
- ELITE MEDICAL SERVICES, INC.
- Practice address
- 356 S Archer St
Eudora, AR 71640-2902 - Phone
- (870) 355-4390
- NPI assigned
- Feb 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Jim Lee Dintelman
- Title
- President Ceo
- Phone
- (870) 355-4390
National Provider Directory
Locations
111 W Peddicord St
Dermott, AR 71638
Phone (870) 538-3900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0470 | AR | Yes |
Addresses
Primary practice location
356 S Archer St
Eudora, AR 71640-2902
Mailing address
PO Box 844
Lake Village, AR 71653-0844
Phone (870) 355-4390
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47354 | Other | AR | BCBS |
Other providers in Eudora, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.