Provider Demographics
NPI:1710194170
Name:CITY OF JUNCTION CITY
Entity Type:Organization
Organization Name:CITY OF JUNCTION CITY
Other - Org Name:JUNCTION CITY AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MAYOR,CITY OF JUNCTION CITY, AR
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-924-4922
Mailing Address - Street 1:207 NORTH MAIN STREET
Mailing Address - Street 2:PO BOX 787
Mailing Address - City:JUNCTION CITY
Mailing Address - State:AR
Mailing Address - Zip Code:71749-0787
Mailing Address - Country:US
Mailing Address - Phone:870-924-4922
Mailing Address - Fax:870-924-4023
Practice Address - Street 1:207 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:AR
Practice Address - Zip Code:71749-0787
Practice Address - Country:US
Practice Address - Phone:870-924-4922
Practice Address - Fax:870-924-4023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARX113943416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport