Organization
JACKIE CHEATHAM
Active
Organization
JACKIE CHEATHAM
Active
Other names
Ozark EMS
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE CHEATHAM (OWNER)
(870) 291-1898
Entity
Organization
Contact information
Practice address
907 AR HWY 56, CALICO ROCK, AR 72519
(870) 291-1898
Mailing address
907 AR HWY 56, PO BOX 261, CALICO ROCK, AR 72519
(870) 291-1898
Taxonomy
Speciality
Code
Description
License number
State
333300000X
Emergency Response System Companies
Primary
204
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204
EMERGENCY MEDICAL SERVICELLICENSE
AR
Enumeration date
01/21/2011
Last updated
02/08/2011
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