Provider Demographics
NPI:1548229982
Name:PULSE EMERGENCY MEDICAL SERVICES
Entity Type:Organization
Organization Name:PULSE EMERGENCY MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TUOMALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-549-3177
Mailing Address - Street 1:PO BOX 1487
Mailing Address - Street 2:
Mailing Address - City:SILOAM SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72761-1487
Mailing Address - Country:US
Mailing Address - Phone:479-549-3177
Mailing Address - Fax:479-549-3139
Practice Address - Street 1:103 S MOUNT OLIVE ST
Practice Address - Street 2:
Practice Address - City:SILOAM SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72761-3167
Practice Address - Country:US
Practice Address - Phone:479-549-3177
Practice Address - Fax:479-549-3139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-23
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1893416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO804885804Medicaid
OK100817890AMedicaid
AR134514715Medicaid
AR47303Medicare UPIN
AR134514715Medicaid
OK100817890AMedicaid