Provider Demographics
NPI:1487139531
Name:DELTA EMS
Entity type:Organization
Organization Name:DELTA EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-919-9738
Mailing Address - Street 1:PO BOX 392
Mailing Address - Street 2:
Mailing Address - City:TRUMANN
Mailing Address - State:AR
Mailing Address - Zip Code:72472-0392
Mailing Address - Country:US
Mailing Address - Phone:870-919-9738
Mailing Address - Fax:870-483-2531
Practice Address - Street 1:26023 HIGHWAY 69 E
Practice Address - Street 2:
Practice Address - City:TRUMANN
Practice Address - State:AR
Practice Address - Zip Code:72472-9766
Practice Address - Country:US
Practice Address - Phone:870-919-9738
Practice Address - Fax:870-483-2531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-25
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport