Organization
MED-TECH EMS OF CONWAY CO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE MARGO CARSON RN, EMT-I (PRESIDENT)
(501) 354-8181
Entity
Organization
Contact information
Practice address
10 MEDICAL SERVICES DR, MORRILTON, AR 72110-4518
(501) 354-8181
(501) 354-1420
Mailing address
10 MEDICAL SERVICES DR, MORRILTON, AR 72110-4518
(501) 354-8181
(501) 354-1420
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
805
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118801715
—
AR
01
—
47030
BLUE CROSS BLUE SHIELD
AR
Enumeration date
06/04/2006
Last updated
09/29/2020
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