Provider Demographics
NPI:1205834348
Name:ACTION EMS
Entity Type:Organization
Organization Name:ACTION EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCBRIDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-425-8007
Mailing Address - Street 1:PO BOX 589
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:AR
Mailing Address - Zip Code:72654-0589
Mailing Address - Country:US
Mailing Address - Phone:870-425-8007
Mailing Address - Fax:870-425-7786
Practice Address - Street 1:1406 SOUTH WEST HIGHWAY 62
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:AR
Practice Address - Zip Code:72654
Practice Address - Country:US
Practice Address - Phone:870-425-8007
Practice Address - Fax:870-425-7786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR47388Medicare ID - Type Unspecified