Pafford Medical Services of Mississippi, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PAFFORD MEDICAL SERVICES OF MISSISSIPPI, INC

Practice address

901 E Sunflower Rd
Cleveland, MS 38732-2833

Phone

(800) 451-8036

Fax

(870) 777-8479

NPI assigned

Sep 22, 2006

Last updated

May 26, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Larry D Clark

Title

Compliance Officer

Phone

(800) 451-8036

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495756800000",
    "number": "1316047392",
    "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": "901 E SUNFLOWER RD",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322833",
            "telephone_number": "800-451-8036",
            "fax_number": "870-777-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAFFORD MEDICAL SERVICES OF MISSISSIPPI, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2017-05-26",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "800-451-8036",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179410715",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02382301",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Street Adult Daycare
• North Sunflower Medical Center (Cleveland Medical Clinic)
• Northwest Miss Regional Medical Center (NWMRMC Woman's Clinic - Cleveland)
• Nouveau Anesthesia Medical Group
• Carmen Cooper Oguz, PT
• Baylee Palasini
• Angela D Parish, CFNP
• Patterson Chiropractic Clinic, PA
• Michael Ray Patterson, D.C.
• Alyssa Cummins Pearson, PT

• Land Ambulance in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Land Ambulance in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; 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.