MEDICARE: FORT SMITH EMERGENCY MEDICAL SERVICES

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	146L00000X	Paramedic	727	AR

General Provider Information

NPI Number	:	1487631305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORT SMITH EMERGENCY MEDICAL SERVICES

Provider Business Mailing Address
First Line	:	1701 S GREENWOOD AVE
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72901-4243
Country	:	US
Telephone Number	:	479-783-1078
Fax Number	:	479-783-2913

Provider Business Practice Location Address
First Line	:	1701 S GREENWOOD AVE
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72901-4243
Country	:	US
Telephone Number	:	479-783-1078
Fax Number	:	479-783-2913

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. PAUL OWENSBY
Credential	:
Telephone Number	:	479-783-1078

Provider Enumeration Date	:	12/30/2005
Last Update Date	:	08/22/2020

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