# SMH AMBULANCE SERVICE

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

## Provider details

- **NPI number:** 1932340221
- **Authorized official:** MR. LARRY DON ALFORD (CFO)
- **Authorized official phone:** (501) 776-6000

## Contact information

- **Practice address:** 1 MEDICAL PARK DR, BENTON, AR 72015-3353
- **Practice address phone:** (501) 776-6000
- **Practice address fax:** (501) 776-6048
- **Mailing address:** PO BOX 9150, PADUCAH, KY 42002-9150
- **Mailing address phone:** (270) 744-9600
- **Mailing address fax:** (270) 744-0834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 0395 | AR | Yes |

## Other

- **Enumeration date:** 03/16/2009
- **Last updated:** 12/02/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 47310 | BCBS | AR |