Organization
COUNTY OF MADISON
Active
Other names
MADISON COUNTY EMS
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH EDMONDS (DIRECTOR)
(479) 738-2621
Entity
Organization
Contact information
Practice address
110 MAINTENANCE DRIVE, HUNTSVILLE, AR 72740-0456
(479) 738-2621
(724) 794-1633
Mailing address
892 NEW CASTLE ROAD, SLIPPERY ROCK, PA 16057-4228
(800) 280-5974
(724) 794-1633
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
135
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103289715
—
AR
Enumeration date
12/06/2006
Last updated
11/06/2019
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