Organization
BELLA VISTA AMBULANCE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRIDGET BLANTON (PATIENT ACCOUNTS COORDINATOR)
(479) 855-4454
Entity
Organization
Contact information
Practice address
103 TOWN CTR W, BELLA VISTA, AR 72714-2420
(479) 855-4454
(479) 855-7602
Mailing address
103 TOWN CTR W, BELLA VISTA, AR 72714-2420
(479) 855-4454
(479) 855-7602
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
124
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011387515
—
AR
05
—
801150301
—
MO
Enumeration date
03/13/2007
Last updated
11/02/2011
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