CITY OF PERRYVILLE (NPI# 1285257105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285257105 |
Entity Type | Organization |
Organization Name | CITY OF PERRYVILLE |
Practice Address |
512 6th St Perryville AR 72126 |
Mailing Address |
Po Box 116 Perryville AR 72126-0116 |
Practice Telephone | 5018895016 |
Mailing Telephone | 5018892862 |
Enumeration Date | 2020-05-27 |
Last Update Date | 2020-05-27 |
Authorized Official Name | LEE TILLMAN STEWART (FIRE CHIEF) |
Authorized Official Telephone | 5016580548 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Perryville Fire/Ems | Doing Business As Name - Organization |
Street Address |
512 6TH ST |
City | PERRYVILLE |
State | AR |
Zip Code | 72126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447896774 | Counseling Associates, Inc. | Clinic/Center | 206 West Main, Perryville, AR 72126 | 2019-11-21 |
1124539648 | Access Medical Clinic Arkansas LLC | Clinic/Center | 1016 North Fourche Avenue, Perryville, AR 72126 | 2017-10-24 |
1730567496 | Amy Hunt | Licensed Practical Nurse | 235 Deberrie Rd, Perryville, AR 72126 | 2015-05-14 |
1467672162 | Perry County Day Service Center, Inc. | Intermediate Care Facility, Mentally Retarded | 115 South Pine Street, Perryville, AR 72126 | 2007-04-26 |
1184753899 | Perry County Food & Drug | Pharmacist | 112 Houston Avenue, Perryville, AR 72126 | 2007-03-06 |
1609882497 | Melissa Dian Seme | Family Medicine | 313 W. Main Street, Perryville, AR 72126 | 2006-07-31 |
1396734000 | Perry County Care Center Inc | Skilled Nursing Facility | 1321 Scenic Drive, Perryville, AR 72126 | 2005-10-14 |
1821418922 | Liberty Ems Service LLC | Ambulance | 157 Houston Ave, Perryville, AR 72126 | 2014-04-16 |
1841595386 | Holly N Griffis | Nurse Practitioner | 518 N Fourche Ave, Perryville, AR 72126 | 2011-01-13 |
1194883355 | Benjamin Carroll Hyatt Jr. | General Practice | 1115 Aplin Avenue, Perryville, AR 72126-0265 | 2006-12-04 |
Find all providers in zip 72126 |
Taxonomy Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154975431 | Cabot Ep, Pllc | Emergency Medicine | 212 Willie Ray Dr., Cabot, AR 72023 | 2019-07-25 |
1518249929 | Doc Network, Inc. | Emergency Medicine | 11705 E Creek Ln, Farmington, AR 72730-9564 | 2011-09-12 |
1376695098 | Angelique Thais Fontenette | Emergency Medicine | Jefferson Regional Medical Center, 1600 West 40th, Pine Bluff, AR 71603 | 2007-01-16 |
1972666147 | Ted Shields | Emergency Medicine | 1710 Mayfield Drive, Jonesboro, AR 72401 | 2006-12-19 |
1356400634 | Gilbert Howard Kimball | Emergency Medicine | Yell County Hospital Dardanelle 200 North Third St., Dardanelle, AR 72834 | 2006-12-06 |
1023107935 | Khalid Rayaz | Emergency Medicine | 13212 Fairview Village Court, Little Rock, AR 72205-4417 | 2006-10-11 |
1538256680 | Gregory Hall | Emergency Medicine | 4301 W Markham St # 584, Little Rock, AR 72205-7101 | 2006-10-09 |
1982715058 | Nes Western Arkansas, Inc | Emergency Medicine | East Main & South 20th St, Van Buren, AR 72956 | 2006-08-31 |
1295754075 | Roderick Rene Boyd | Emergency Medicine | 460 W Oak St Ste 601, El Dorado, AR 71730-4538 | 2006-07-19 |
1528007838 | Martin John Carey | Emergency Medicine | 1 Briar Patch Ct, Little Rock, AR 72211-4425 | 2006-06-05 |
Find all providers with the same taxonomy |
City | PERRYVILLE |
Zip Code | 72126 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.