# ANGEL CARE EMS OF CRAWFORD COUNTY, INC

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

## Provider details

- **NPI number:** 1750481578
- **Authorized official:** MR. JEFF MARVIN (VICE-PRESIDENT)
- **Authorized official phone:** (479) 474-9907

## Contact information

- **Practice address:** 718 CLOVERLEAF CIR, VAN BUREN, AR 72956-5060
- **Practice address phone:** (479) 474-9907
- **Practice address fax:** (479) 474-9903
- **Mailing address:** 718 CLOVERLEAF CIR, P O BOX 5641, VAN BUREN, AR 72956-5060
- **Mailing address phone:** (479) 474-9907
- **Mailing address fax:** (479) 474-9903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 736 | AR | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 47336 | BC/BS | AR |