Organization
CITY OF CROSSETT
Active
Organization
CITY OF CROSSETT
Active
Other names
Crossett Fire Dept/Crossett Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
TODD FREEMAN (ASSISTANT CHIEF)
(870) 364-4134
Entity
Organization
Contact information
Practice address
309 MAIN STREET, CROSSETT, AR 71635
(870) 364-4134
(870) 364-5634
Mailing address
PO BOX 560, CROSSETT, AR 71635-0560
(870) 364-4134
(870) 364-5634
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
488
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100954715
—
AR
01
—
47077
BCBS & ALL OTHER INSURANC
AR
Enumeration date
06/13/2006
Last updated
06/12/2008
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