Organization
CITY OF PEA RIDGE
Active
Other names
Pea Ridge Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMIE WAYNE BAGGETT (FIRE CHIEF)
(479) 451-1111
Entity
Organization
Contact information
Practice address
293 SOUTH CURTIS AVE, PEA RIDGE, AR 72751-0010
(479) 451-1111
(479) 451-1681
Mailing address
P.O. BOX 10, PEA RIDGE, AR 72751-0010
(479) 451-1111
(479) 451-1105
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0147
AR
3416L0300X
Land Ambulance
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121930715
—
AR
01
—
47322
BCBS
AR
Enumeration date
07/19/2006
Last updated
07/21/2022
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