Organization
ARKANSAS EMERGENCY TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER W HOSMAN (PRESIDENT)
(501) 982-5912
Entity
Organization
Contact information
Practice address
2003 MILITARY ROAD, JACKSONVILLE, AR 72076
(501) 982-5912
(501) 985-9912
Mailing address
PO BOX 339, JACKSONVILLE, AR 72078-0339
(501) 982-5912
(501) 985-9912
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
225
AR
341600000X
Ambulance
Primary
301
AR
341600000X
Ambulance
306
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48861
BCBS
AR
Enumeration date
12/15/2005
Last updated
04/20/2008
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