# VOLUNTEER AMBULANCE SERVICE OF NE BENTON COUNTY

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

## Provider details

- **NPI number:** 1386648855
- **Authorized official:** MISSY MASON (OFFICE MANAGER)
- **Authorized official phone:** (479) 359-3889

## Contact information

- **Practice address:** 17938 DENNIS MITCHELL RD, GARFIELD, AR 72732-9048
- **Practice address phone:** (479) 359-3889
- **Practice address fax:** (479) 359-2333
- **Mailing address:** PO BOX 102, GARFIELD, AR 72732-0102
- **Mailing address phone:** (479) 359-3889
- **Mailing address fax:** (479) 359-2333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146N00000X | Basic Emergency Medical Technician | 149 | AR | Yes |

## Other

- **Enumeration date:** 06/12/2005
- **Last updated:** 02/03/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 118610715 | — | AR |
| 01 | — | TO386107 | VETERANS ADMIN | AR |