Provider Demographics
NPI:1346201688
Name:CHIMES VOLUNTEER FIRE DEPARTMENT
Entity Type:Organization
Organization Name:CHIMES VOLUNTEER FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF/EMT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-745-2495
Mailing Address - Street 1:1871 HEFNER RD
Mailing Address - Street 2:
Mailing Address - City:LESLIE
Mailing Address - State:AR
Mailing Address - Zip Code:72645-9488
Mailing Address - Country:US
Mailing Address - Phone:501-745-8141
Mailing Address - Fax:
Practice Address - Street 1:4145 HIGHWAY 254 W
Practice Address - Street 2:
Practice Address - City:LESLIE
Practice Address - State:AR
Practice Address - Zip Code:72645-9487
Practice Address - Country:US
Practice Address - Phone:501-745-2495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-28
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR165341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR133156715Medicaid
AR133156715Medicaid