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Organization
EMERGENCY MEDICAL TRANSPORT
Active
Organization
EMERGENCY MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY S WESTON (BILLING MANAGER)
(501) 622-0112
Entity
Organization
Contact information
Practice address
115 N 3RD ST, GLENWOOD, AR 71943
(501) 622-0112
(501) 767-0329
Mailing address
PO BOX 766, GLENWOOD, AR 71943-0766
(501) 622-0112
(501) 767-0329
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
878
AR
3416L0300X
Land Ambulance
878
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149161718
—
AR
Enumeration date
09/12/2005
Last updated
06/17/2008
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