Organization
MONTICELLO AMBULANCE SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERRY CARSON (PRESIDENT)
(870) 367-7384
Entity
Organization
Contact information
Practice address
325 WEST SHELTON, MONTICELLO, AR 71655
(870) 367-7384
(870) 367-8122
Mailing address
PO BOX 643, MONTICELLO, AR 71657-0643
(870) 367-7384
(870) 367-8122
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0434
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145645715
—
AR
01
—
47301
BLUE CROSS BLUE SHEILD
AR
Enumeration date
12/06/2006
Last updated
08/09/2010
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