Organization
CITY OF PEA RIDGE
Active
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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