Healthcare Provider Details

I. General information

NPI: 1477652501
Provider Name (Legal Business Name): PAFFORD MEDICAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 01/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 E 3RD ST
HOPE AR
71801-5401
US

IV. Provider business mailing address

PO BOX 1120
HOPE AR
71802-1120
US

V. Phone/Fax

Practice location:
  • Phone: 870-777-7660
  • Fax: 870-777-8479
Mailing address:
  • Phone: 870-777-7660
  • Fax: 870-777-8479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. LARRY D CLARK
Title or Position: COMPLIANCE OFFICER
Credential:
Phone: 870-777-7660