Provider Demographics
NPI:1720391212
Name:NORTHEAST BENTON COUNTY VOLUNTEER FIRE DEPARTMENT INC
Entity Type:Organization
Organization Name:NORTHEAST BENTON COUNTY VOLUNTEER FIRE DEPARTMENT INC
Other - Org Name:NEBCO EMS
Other - Org Type:Other Name
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:FIRE CHIEF
Authorized Official - Phone:479-586-2582
Mailing Address - Street 1:PO BOX 205
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:AR
Mailing Address - Zip Code:72732-0205
Mailing Address - Country:US
Mailing Address - Phone:479-586-2582
Mailing Address - Fax:
Practice Address - Street 1:14637 S WIMPY JONES RD
Practice Address - Street 2:
Practice Address - City:GARFIELD
Practice Address - State:AR
Practice Address - Zip Code:72732
Practice Address - Country:US
Practice Address - Phone:479-586-2582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1093416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport