# BLYTHEVILLE CITIZENS BAND RADIO CLUB INC

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

## Provider details

- **NPI number:** 1538170956
- **Authorized official:** MR. MIKE GODSEY (CHIEF)
- **Authorized official phone:** (870) 740-2248

## Contact information

- **Practice address:** 200 CHICKASAWBA ST, BLYTHEVILLE, AR 72315-2812
- **Practice address phone:** (870) 740-2248
- **Practice address fax:** (870) 763-6794
- **Mailing address:** 200 CHICKASAWBA ST, BLYTHEVILLE, AR 72315-2812
- **Mailing address phone:** (870) 740-2248
- **Mailing address fax:** (870) 763-6794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 368 | AR | — |
| 341600000X | Ambulance | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 01/27/2012