Provider Demographics
NPI:1497975767
Name:CITY OF DES ARC OFFICE OF CITY CLERK
Entity Type:Organization
Organization Name:CITY OF DES ARC OFFICE OF CITY CLERK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-B
Authorized Official - Phone:870-256-4316
Mailing Address - Street 1:107 3RD ST S
Mailing Address - Street 2:
Mailing Address - City:DES ARC
Mailing Address - State:AR
Mailing Address - Zip Code:72040
Mailing Address - Country:US
Mailing Address - Phone:870-256-4316
Mailing Address - Fax:870-256-4612
Practice Address - Street 1:107 3RD ST S
Practice Address - Street 2:
Practice Address - City:DES ARC
Practice Address - State:AR
Practice Address - Zip Code:72040
Practice Address - Country:US
Practice Address - Phone:870-256-4316
Practice Address - Fax:870-256-4612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-27
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3463416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR47110Medicare PIN