# PIGGOTT COMMUNITY HOSPITAL AMBULANCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285753624
- **Authorized official:** MR. JAMES L MAGEE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (870) 598-3881

## Contact information

- **Practice address:** 1206 GORDON DUCKWORTH DR, PIGGOTT, AR 72454-1911
- **Practice address phone:** (870) 598-3881
- **Practice address fax:** (870) 598-5716
- **Mailing address:** 1206 GORDON DUCKWORTH DR, PIGGOTT, AR 72454-1911
- **Mailing address phone:** (870) 598-3881
- **Mailing address fax:** (870) 598-5716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 602 | AR | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 10/26/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 801359902 | — | MO |