Healthcare Provider Details

I. General information

NPI: 1760410278
Provider Name (Legal Business Name): YELL COUNTY EMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 08/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 E 8TH ST
DANVILLE AR
72833-8801
US

IV. Provider business mailing address

1007 E 8TH ST
DANVILLE AR
72833-8801
US

V. Phone/Fax

Practice location:
  • Phone: 479-495-7831
  • Fax: 479-495-7390
Mailing address:
  • Phone: 479-495-7831
  • Fax: 479-495-7390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number832
License Number StateAR

VIII. Authorized Official

Name: MR. SIDNEY L WARD
Title or Position: DIRECTOR
Credential: DIRECTOR
Phone: 479-495-7831