# CITY OF FAIRFIELD BAY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** City of Fairfield Bay
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861454506
- **Authorized official:** MR. ROBERT CHALOUPEK EMT (EMS CAPTAIN)
- **Authorized official phone:** (501) 884-6006

## Contact information

- **Practice address:** 101 LITTLE ROCK DRIVE, FAIRFIELD BAY, AR 72088-1271
- **Practice address phone:** (501) 884-6006
- **Mailing address:** PO BOX 1271, FAIRFIELD BAY, AR 72088-1271
- **Mailing address phone:** (501) 884-6006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 248 | AR | Yes |

## Other

- **Enumeration date:** 04/06/2006
- **Last updated:** 11/14/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 133442715 | — | AR |
| 01 | — | NEIC AR047 | AMBULANCE SERVICE | AR |