Organization
CRITTENDEN AMBULANCE SERVICE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER REVELS (MANAGER)
(800) 451-8036
Entity
Organization
Contact information
Practice address
510 E JACKSON AVE, WEST MEMPHIS, AR 72301-4336
(800) 451-8036
(870) 777-8479
Mailing address
PO BOX 3127, WEST MEMPHIS, AR 72303-3127
(800) 451-8036
(870) 777-8479
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
633
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47153
ARKANSAS BCBS
AR
Enumeration date
05/22/2007
Last updated
08/22/2020
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