Healthcare Provider Details

I. General information

NPI: 1205834348
Provider Name (Legal Business Name): ACTION EMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1406 SOUTH WEST HIGHWAY 62
MOUNTAIN HOME AR
72654
US

IV. Provider business mailing address

PO BOX 589
MOUNTAIN HOME AR
72654-0589
US

V. Phone/Fax

Practice location:
  • Phone: 870-425-8007
  • Fax: 870-425-7786
Mailing address:
  • Phone: 870-425-8007
  • Fax: 870-425-7786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: RHONDA MCBRIDE
Title or Position: OWNER
Credential:
Phone: 870-425-8007