Organization
EMERGENCY AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEN PALMISANO (CFO)
(870) 536-0734
Entity
Organization
Contact information
Practice address
116 UNIVERSITY DR, PINE BLUFF, AR 71601-3306
(870) 536-0734
(870) 534-8378
Mailing address
PO BOX 5099, PINE BLUFF, AR 71611-5099
(870) 536-0734
(870) 534-8378
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
459
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101581715
—
AR
Enumeration date
11/04/2005
Last updated
07/21/2008
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