Provider Demographics
NPI:1205008679
Name:MISSISSIPPI COUNTY EMERGENCY MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:MISSISSIPPI COUNTY EMERGENCY MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-763-0911
Mailing Address - Street 1:PO BOX 1461
Mailing Address - Street 2:
Mailing Address - City:BLYTHEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72316-1461
Mailing Address - Country:US
Mailing Address - Phone:870-763-0911
Mailing Address - Fax:870-763-2911
Practice Address - Street 1:527 PARK ST
Practice Address - Street 2:
Practice Address - City:BLYTHEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72315-2423
Practice Address - Country:US
Practice Address - Phone:870-763-0911
Practice Address - Fax:870-763-2911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-26
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR06083416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport