A Superior Ambulance Provider of Lamar County, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

309 Issued in MS

Legal business name

A SUPERIOR AMBULANCE PROVIDER OF LAMAR COUNTY, LLC

Practice address

116 Mason Street
Laurel, MS 39442-2727

Phone

(601) 428-0060

Fax

(601) 425-3795

NPI assigned

Dec 29, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Sheri Powell

Title

Cfo

Phone

(601) 428-0060

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ASAP of Lamar County Other name

Locations

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295712263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MASON STREET",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394422727",
            "telephone_number": "601-428-0060",
            "fax_number": "601-425-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MASON STREET",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394422727",
            "telephone_number": "601-428-0060",
            "fax_number": "601-425-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SUPERIOR AMBULANCE PROVIDER OF LAMAR COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "601-428-0060",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MS",
            "license": "309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00552951",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASAP of Lamar County",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• A Superior Ambulance Provider LLC
• Brighton Abebe, PHARMD
• Tristia L Abner, RN
• Rose Abney, CIDDT
• Abundant Hearts Health Care LLC
• Amy Adams, D.O.

• All providers in Laurel, MS
• Land Ambulance in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.