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Organization
CITY OF FAIRFIELD BAY
Active
Organization
CITY OF FAIRFIELD BAY
Active
Other names
City of Fairfield Bay
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT CHALOUPEK EMT (EMS CAPTAIN)
(501) 884-6006
Entity
Organization
Contact information
Practice address
101 LITTLE ROCK DRIVE, FAIRFIELD BAY, AR 72088-1271
(501) 884-6006
Mailing address
PO BOX 1271, FAIRFIELD BAY, AR 72088-1271
(501) 884-6006
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
248
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133442715
—
AR
01
—
NEIC AR047
AMBULANCE SERVICE
AR
Enumeration date
04/06/2006
Last updated
11/14/2013
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