Organization
SPRING RIVER PARAMEDIC AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNINE M EASH (BUSINESS OPERATIONS DIRECTOR)
(870) 994-0790
Entity
Organization
Contact information
Practice address
4 NAVAJO CTR, CHEROKEE VILLAGE, AR 72529-7610
(870) 994-0790
(870) 994-0792
Mailing address
4 NAVAJO CTR, CHEROKEE VILLAGE, AR 72529-7610
(870) 994-0790
(870) 994-0792
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0230
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105964715
—
AR
05
—
3416L0300X
—
AR
01
—
801640806
MO MEDICAID
MO
Enumeration date
10/23/2006
Last updated
02/13/2023
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