Organization
ARKANSAS EXCELLENT TRANSPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORRAINE A JONES (BILLING MANGER)
(870) 886-6400
Entity
Organization
Contact information
Practice address
401 EAST MAIN, WANUT RIDGE, AR 72476
(870) 886-6400
(870) 886-6401
Mailing address
PO BOX 16, 401 EAST MAIN, WALNUT RIDGE, AR 72476
(870) 886-6400
(870) 886-6401
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
0625
AR
3416L0300X
Land Ambulance
625
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138746715
—
AR
Enumeration date
06/11/2006
Last updated
11/01/2012
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