SOUTHERN PARAMEDIC SERVICE INC; NPI #1649200890

Contact Information

SOUTHERN PARAMEDIC SERVICE INC

210 N NEW ORLEANS STREET
BRINKLEY, AR 72021

Phone: 870-589-2206
Fax: 870-589-2206
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for SOUTHERN PARAMEDIC SERVICE INC

NPI # 1649200890

LBN Legal business name SOUTHERN PARAMEDIC SERVICE INC

Authorized official GARY PADGET - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/04/2006

Last updated 01/08/2025 - More than a year ago

Identifiers

Medicaid

124154715

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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