Organization
VOLUNTEER AMBULANCE SERVICE OF NE BENTON COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISSY MASON (OFFICE MANAGER)
(479) 359-3889
Entity
Organization
Contact information
Practice address
17938 DENNIS MITCHELL RD, GARFIELD, AR 72732-9048
(479) 359-3889
(479) 359-2333
Mailing address
PO BOX 102, GARFIELD, AR 72732-0102
(479) 359-3889
(479) 359-2333
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
149
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118610715
—
AR
01
—
TO386107
VETERANS ADMIN
AR
Enumeration date
06/12/2005
Last updated
02/03/2009
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