Active NPI
Magnolia Ambulance Services
- Ambulance
- Corinth, MS
National Provider Identifier
1215523675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- MAGNOLIA AMBULANCE SERVICES
- Practice address
- 611 Alcorn Dr
Corinth, MS 38834-9321 - Phone
- (662) 293-1574
- NPI assigned
- Dec 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Hobson
- Title
- Ceo
- Phone
- (662) 293-7661
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
611 Alcorn Dr
Corinth, MS 38834-9321
Mailing address
401 Alcorn Dr Ste 2C
Corinth, MS 38834-9073
Phone (662) 293-7618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210202002774 | MS | Part B Supplier - Ambulance Service Supplier | 5597179549 | Practice locations: Corinth, MS |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608249600000",
"number": "1215523675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 ALCORN DR STE 2C",
"city": "CORINTH",
"state": "MS",
"postal_code": "388349073",
"telephone_number": "662-293-7618",
"fax_number": "662-293-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 ALCORN DR",
"city": "CORINTH",
"state": "MS",
"postal_code": "388349321",
"telephone_number": "662-293-1574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNOLIA AMBULANCE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-18",
"last_updated": "2020-12-18",
"certification_date": "2020-12-18",
"status": "A",
"authorized_official_last_name": "HOBSON",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "662-293-7661"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corinth, MS
- James N Long Jr., MD
- Robert P Lorentz, D.D.S.,M.S.P.C.
- Christopher A Lucas, DPT
- Maggie Aleixandrea Macias, MSN, APRN, FNP-C
- Michael Coty Maddox, DO
- Magnolia Anesthesiology Associates, P.a.
- Magnolia Cardiology Associates
- Magnolia Cardiovascular and Thoracic Clinic
- Magnolia Ear Nose & Throat
- Magnolia Endoscopy Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.