Organization
TRUMANN AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DAWN WATKINS (PRESIDENT)
(870) 483-6441
Entity
Organization
Contact information
Practice address
408 JADEN COVE, TRUMANN, AR 72472
(870) 483-6441
(870) 483-7840
Mailing address
PO BOX 81, TRUMANN, AR 72472-0081
(870) 483-6441
(870) 483-7840
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0635
AR
3416L0300X
Land Ambulance
0636
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0635
SERVICE LICENSE FOR AR
AR
01
—
0636
SERVICE LICENSE FOR AR
AR
05
—
164382715
—
AR
Enumeration date
12/18/2006
Last updated
04/29/2011
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