MEDICARE: CITY OF CAMDEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1184581902
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF CAMDEN

Provider Business Mailing Address
First Line	:	140 VAN BUREN ST NW
Second Line	:
City	:	CAMDEN
State	:	AR
Zip	:	71701-3929
Country	:	US
Telephone Number	:	870-836-2413
Fax Number	:	870-837-5517

Provider Business Practice Location Address
First Line	:	140 VAN BUREN ST NW
Second Line	:
City	:	CAMDEN
State	:	AR
Zip	:	71701-3929
Country	:	US
Telephone Number	:	870-836-2413
Fax Number	:	870-837-5517

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	JEREMY WAYNE COVINGOTN
Credential	:	EMT-B
Telephone Number	:	870-836-2413

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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Directions to “CITY OF CAMDEN ” Practice Location

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