Provider Demographics
NPI:1457481053
Name:CITY OF WEST MEMPHIS
Entity Type:Organization
Organization Name:CITY OF WEST MEMPHIS
Other - Org Name:EMERGENCY MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:VOYLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-732-7570
Mailing Address - Street 1:200 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST MEMPHIS
Mailing Address - State:AR
Mailing Address - Zip Code:72301-3227
Mailing Address - Country:US
Mailing Address - Phone:870-732-7570
Mailing Address - Fax:870-732-7574
Practice Address - Street 1:200 N 7TH ST
Practice Address - Street 2:
Practice Address - City:WEST MEMPHIS
Practice Address - State:AR
Practice Address - Zip Code:72301-3227
Practice Address - Country:US
Practice Address - Phone:870-732-7570
Practice Address - Fax:870-732-7574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR6913416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR47361Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER