Organization
SMH AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY DON ALFORD (CFO)
(501) 776-6000
Entity
Organization
Contact information
Practice address
1 MEDICAL PARK DR, BENTON, AR 72015-3353
(501) 776-6000
(501) 776-6048
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-0834
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0395
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47310
BCBS
AR
Enumeration date
03/16/2009
Last updated
12/02/2010
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