Healthcare Provider Details

I. General information

NPI: 1164139036
Provider Name (Legal Business Name): VALOR EMERGENCY MEDICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2022
Last Update Date: 08/04/2023
Certification Date: 08/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 N 10TH ST
ARKADELPHIA AR
71923-3214
US

IV. Provider business mailing address

PO BOX 3
ARKADELPHIA AR
71923-0003
US

V. Phone/Fax

Practice location:
  • Phone: 870-464-1088
  • Fax: 888-464-0905
Mailing address:
  • Phone: 870-464-1088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: JOHN DAVID WINDHAM
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 870-403-2940