Healthcare Provider Details

I. General information

NPI: 1235129685
Provider Name (Legal Business Name): FRANKLIN COUNTY EMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 W SPRING ST
OZARK AR
72949-2829
US

IV. Provider business mailing address

111 W SPRING ST
OZARK AR
72949-2829
US

V. Phone/Fax

Practice location:
  • Phone: 479-667-4900
  • Fax: 479-667-3589
Mailing address:
  • Phone: 479-667-4900
  • Fax: 479-667-3589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number721
License Number StateAR

VIII. Authorized Official

Name: MRS. JESSICA J BURNS
Title or Position: OFFICE MANAGER
Credential:
Phone: 476-667-4900