Organization
MEDIC ONE, LLC
Active
Other names
MEDIC ONE AMBULANCE
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MANN (PRESIDENT)
(870) 972-8484
Entity
Organization
Contact information
Practice address
6007 DALTON FARMER DR, JONESBORO, AR 72404-8895
(870) 972-0708
Mailing address
6007 DALTON FARMER DR, JONESBORO, AR 72404-8895
(870) 931-8566
(870) 972-5787
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
069132
MO
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806255303
—
MO
Enumeration date
11/03/2006
Last updated
04/15/2024
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