Organization
CITY OF GRAVETTE
Active
Other names
Gravette Fire and Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KURT MADDOX (MAYOR)
(479) 787-7575
Entity
Organization
Contact information
Practice address
309 1ST AVE NW, GRAVETTE, AR 72736
(479) 787-6600
(479) 787-6162
Mailing address
202 MAIN ST NE, GRAVETTE, AR 72736-9546
(479) 787-6600
(479) 787-6162
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101128715
—
AR
01
—
47058
BLUE CROSS
—
Enumeration date
06/22/2007
Last updated
08/06/2025
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