Organization
CITY OF GRAVETTE
Active
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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