Organization
ELITE MEDICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM LEE DINTELMAN (PRESIDENT CEO)
(870) 355-4390
Entity
Organization
Contact information
Practice address
356 S ARCHER ST, EUDORA, AR 71640-2902
(870) 355-4390
Mailing address
PO BOX 844, LAKE VILLAGE, AR 71653-0844
(870) 355-4390
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0470
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47354
BCBS
AR
Enumeration date
02/02/2006
Last updated
08/22/2020
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