# SOUTHERN LIFECARE EMERGENCY MEDICAL SERVICES, INC.

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

## Provider details

- **NPI number:** 1639591498
- **Authorized official:** MR. GARY WILTON PADGET (C.E.O.)
- **Authorized official phone:** (870) 734-3366

## Contact information

- **Practice address:** 210 N NEW ORLEANS AVE, BRINKLEY, AR 72021-2812
- **Practice address phone:** (870) 734-3366
- **Practice address fax:** (870) 589-2206
- **Mailing address:** PO BOX 802, BRINKLEY, AR 72021-0802
- **Mailing address phone:** (870) 734-3366
- **Mailing address fax:** (870) 589-2206

## Taxonomy

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

## Other

- **Enumeration date:** 01/14/2014
- **Last updated:** 01/14/2014
