Organization
CITY OF EL DORADO OFFICE OF CITY CLERK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD MOSBY (FIRE CHIEF)
(870) 881-4855
Entity
Organization
Contact information
Practice address
204 N WEST AVE, EL DORADO, AR 71730-5622
(870) 881-4855
(870) 881-8989
Mailing address
PO BOX 2170, EL DORADO, AR 71731-2170
(870) 881-4855
(870) 881-8989
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
581
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106089715
—
AR
01
—
590083094
RAILROAD MEDICARE
AR
Enumeration date
09/22/2006
Last updated
03/15/2012
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