Organization
WHITE RIVER EMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY WILTON PADGET (PRESIDENT)
(870) 734-3366
Entity
Organization
Contact information
Practice address
1811 NORTH PECAN STREET, NEWPORT, AR 72112
(870) 523-3908
(870) 523-8974
Mailing address
1811 NORTH PECAN STREET, NEWPORT, AR 72112
(870) 523-3908
(870) 523-8974
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
213
AR
3416L0300X
Land Ambulance
Primary
214
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150409715
—
AR
Enumeration date
10/03/2006
Last updated
07/23/2024
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