Organization
ANGEL CARE EMS OF CRAWFORD COUNTY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF MARVIN (VICE-PRESIDENT)
(479) 474-9907
Entity
Organization
Contact information
Practice address
718 CLOVERLEAF CIR, VAN BUREN, AR 72956-5060
(479) 474-9907
(479) 474-9903
Mailing address
718 CLOVERLEAF CIR, P O BOX 5641, VAN BUREN, AR 72956-5060
(479) 474-9907
(479) 474-9903
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
736
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47336
BC/BS
AR
Enumeration date
09/22/2006
Last updated
08/22/2020
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