Organization
CITY OF FAIRFIELD BAY
Active
Other names
City of Fairfield Bay
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT CHALOUPEK EMT (EMS CAPTAIN)
(501) 884-6006
Entity
Organization
Contact information
Practice address
101 LITTLE ROCK DRIVE, FAIRFIELD BAY, AR 72088-1271
(501) 884-6006
Mailing address
PO BOX 1271, FAIRFIELD BAY, AR 72088-1271
(501) 884-6006
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
248
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133442715
—
AR
01
—
NEIC AR047
AMBULANCE SERVICE
AR
Enumeration date
04/06/2006
Last updated
11/14/2013
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