=====================================================
General NPI Number Information
=====================================================
NPI Number | 1548229982
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PULSE EMERGENCY MEDICAL SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/23/2006
-----------------------------------------------------
Last Update Date | 04/08/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 103 S MOUNT OLIVE ST
-----------------------------------------------------
City | SILOAM SPRINGS
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72761-3167
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 479-549-3177
-----------------------------------------------------
Fax | 479-549-3139
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 1487
-----------------------------------------------------
City | SILOAM SPRINGS
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72761-1487
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 479-549-3177
-----------------------------------------------------
Fax | 479-549-3139
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OFFICE MANAGER
-----------------------------------------------------
Name | MS. BONNIE TUOMALA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 479-549-3177
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number | 189
-----------------------------------------------------
License Number State | AR
-----------------------------------------------------