Healthcare Provider Details

I. General information

NPI: 1457261604
Provider Name (Legal Business Name): LEPANTO VOLUNTEER FIRE DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

728 GREENWOOD AVENUE
LEPANTO AR
72354
US

IV. Provider business mailing address

PO BOX 358
LEPANTO AR
72354-0358
US

V. Phone/Fax

Practice location:
  • Phone: 870-475-2566
  • Fax:
Mailing address:
  • Phone: 870-475-2566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number
License Number State

VIII. Authorized Official

Name: DANIEL A VAUGHN
Title or Position: EMS DIRECTOR
Credential: PARAMEDIC
Phone: 870-227-0285