Healthcare Provider Details

I. General information

NPI: 1790976561
Provider Name (Legal Business Name): PRECISION FUNDING OF ARKANSAS INC. DBA JET-MED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2007
Last Update Date: 08/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2226 COTTONDALE LN
LITTLE ROCK AR
72202-2059
US

IV. Provider business mailing address

2226 COTTONDALE LN
LITTLE ROCK AR
72202-2059
US

V. Phone/Fax

Practice location:
  • Phone: 501-671-2719
  • Fax:
Mailing address:
  • Phone: 501-671-2719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number398
License Number StateAR

VIII. Authorized Official

Name: MR. RICK EDWARDS
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 501-258-4599