Pafford Air of Mississippi LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

PAFFORD AIR OF MISSISSIPPI LLC

Practice address

390 Airport Rd
Monticello, AR 71655-9156

Phone

(800) 451-8036

Fax

(870) 777-8479

NPI assigned

Oct 26, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Greg Pafford

Title

President

Phone

(800) 451-8036

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pafford Air of Mississippi LLC

  • Air Ambulance
  • Ferriday, LA
  • NPI 1578264008

  2365812351

  Same PAC ID
• Pafford Air of Mississippi LLC

  • Ambulance
  • Clarksdale, MS
  • NPI 1700503109

  2365812351

  Same PAC ID

Tax ID family

Pafford Air of Ms3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Pafford Air of Mississippi LLC

  • Air Ambulance
  • Ferriday, LA
  • NPI 1578264008
  NPD tax ID
• Pafford Air of Mississippi LLC

  • Ambulance
  • Clarksdale, MS
  • NPI 1700503109
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1245957646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1120",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718021120",
            "telephone_number": "800-451-8036",
            "fax_number": "870-777-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 AIRPORT RD",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716559156",
            "telephone_number": "800-451-8036",
            "fax_number": "870-777-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAFFORD AIR OF MISSISSIPPI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "PAFFORD",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-451-8036"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1245957646",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200004767",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "295264715",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "47479",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Odyssey Healthcare Operating a, LP
• Olivia'S Senior Home Care
• Olivia'S Senior Home Care
• John Patrick Owens, LPC
• P & M Quality Medical LLC
• Pafford Emergency Medical Services, Inc
• Jason A Palmer, CASE MANAGER
• Darrius Patton
• Candace Brittany Paul, PHARMD
• Fred Pefferkorn, LPC

• Ambulance in Monticello, AR
• Providers in Monticello, AR by specialty
• Ambulance in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.

Verify at the official NPI Registry.