Pea Ridge Fire Department

LBN: City Of Pea Ridge
Pea Ridge Fire Department is an health care organization with primary practice located at 293 South Curtis Ave , Pea Ridge AR 72751-0010. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. City Of Pea Ridge can be contacted via phone (479) 451-1111, or through Baggett, Jamie Wayne via phone (479) 451-1111.

Contact Information

Primary practice address
293 South Curtis Ave Pea Ridge AR 72751-0010
Phone: (479) 451-1111
Fax: (479) 451-1681
Website:
Map and Directions
Authorized official contact:
Name: Baggett, Jamie Wayne
Phone: (479) 451-1111

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X Arkansas
Transportation Services / Land Transport 3416L0300X 0147 Arkansas

Profile Details

NPI number 1407875461
LBN Legal business name City Of Pea Ridge
DBA Doing business as Pea Ridge Fire Department
Authorized official Baggett, Jamie Wayne
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407875461 NPPES
Arkansas MEDICAID 121930715
Arkansas Other 47322

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