CITY OF PEA RIDGE (NPI# 1407875461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407875461 |
| Entity Type | Organization |
| Organization Name | CITY OF PEA RIDGE |
| Other Organization Name | PEA RIDGE FIRE DEPARTMENT |
| Practice Address |
293 South Curtis Ave Pea Ridge AR 72751-0010 |
| Mailing Address |
P.o. Box 10 Pea Ridge AR 72751-0010 |
| Practice Telephone | 4794511111 |
| Practice Fax Number | 4794511681 |
| Mailing Telephone | 4794511111 |
| Mailing Fax Number | 4794511105 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2014-02-19 |
| Authorized Official Name | MR. JAMIE WAYNE BAGGETT (FIRE CHIEF) |
| Authorized Official Telephone | 4794511111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
========= | AR | Transportation Services |
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
0147 | AR | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BCBS | 47322 | 01 |
| AR | 121930715 | 05 |
| Other Name | Type Code |
|---|---|
| Pea Ridge Fire Department | Former Legal Business Name - Organization |
| Street Address |
293 SOUTH CURTIS AVE |
| City | PEA RIDGE |
| State | AR |
| Zip Code | 72751-0010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099073 | St Francis House Nwa, Inc | Clinic/Center | 1923 W Pickens Road, Pea Ridge, AR 72751 | 2020-07-01 |
| 1780878553 | Hands-on Chiropractic Inc | Chiropractor | 522 N Curtis Avenue, Pea Ridge, AR 72751 | 2007-09-05 |
| 1740271014 | Matthew Bradley Jennings | Family Medicine | 200 Carr Street, Pea Ridge, AR 72751 | 2005-11-04 |
| 1770588451 | Delilah Mae Parker | Chiropractor | 522 N. Curtis Avenue, Pea Ridge, AR 72751 | 2005-06-17 |
| 1942711544 | Whitney Layne Franklin | Nurse Practitioner | 200 Carr Street, Pea Ridge, AR 72751 | 2017-10-23 |
| 1518273580 | Hope Dunseath | Licensed Practical Nurse | 827 West Slack Street, Pea Ridge, AR 72751 | 2010-08-27 |
| 1609182674 | Rachel Carlton | Licensed Practical Nurse | 827 West Slack Street, Pea Ridge, AR 72751 | 2010-08-27 |
| 1013067065 | Pea Ridge School District | Local Education Agency (LEA) | 781 W Pickens Rd, Pea Ridge, AR 72751-2519 | 2007-01-11 |
| 1699223644 | Patrick Thompson | Speech-Language Pathologist | 781 W Pickens Rd, Pea Ridge, AR 72751-2519 | 2016-09-20 |
| 1386891307 | Amanda Mychale Coco | Speech-Language Pathologist | 781 W Pickens Rd, Pea Ridge, AR 72751-2519 | 2008-08-20 |
| Find all providers in zip 72751 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912504119 | Edm Enterprises, LLC | Ambulance | 524 N 7th St, West Memphis, AR 72301-3233 | 2020-10-01 |
| 1710508262 | Milo Fire Department | Ambulance | 2166 Highway 189 N, Hamburg, AR 71646-8854 | 2020-05-06 |
| 1588215628 | Survival Flight Ems LLC | Ambulance | 2122 North Broadway, Heber Springs, AR 72543-5004 | 2019-09-20 |
| 1487139531 | Delta Ems | Ambulance | 26023 Highway 69 E, Trumann, AR 72472-9766 | 2018-09-25 |
| 1043747744 | Northwest Arkansas Paramed Transfer LLC | Ambulance | 925 Watson Ave, Springdale, AR 72764-5211 | 2017-05-12 |
| 1780119610 | Medical Transport Management, Inc | Ambulance | 109 W Peddicord St, Dermott, AR 71638-2115 | 2017-04-28 |
| 1588196208 | Beaver Lake Fire Dept | Ambulance | 8944 Grimes Dr, Rogers, AR 72756-7879 | 2017-03-31 |
| 1982064564 | Ar Life Transport | Ambulance | 614 Grandview St, Sherwood, AR 72120-3224 | 2016-02-25 |
| 1902271448 | City of Lowell | Ambulance | 216 N Lincoln St, Lowell, AR 72745-9048 | 2015-12-09 |
| 1538558697 | Pine Snag Lobo Fire Association | Ambulance | 1855 Pangburn Rd, Heber Springs, AR 72543 | 2015-01-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CITY OF PEA RIDGE.
| 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.