Organization
BEAVER LAKE FIRE DEPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WHISENANT (FIRE CHIEF)
(479) 925-2082
Entity
Organization
Contact information
Practice address
8944 GRIMES DR, ROGERS, AR 72756-7879
(479) 925-2082
Mailing address
8944 GRIMES DR, ROGERS, AR 72756-7879
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
AR
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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