Organization Active NPI

A Superior Ambulance Provider LLC

  • Land Ambulance
  • Laurel, MS
National Provider Identifier
1356328322
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
270 Issued in MS
Legal business name
A SUPERIOR AMBULANCE PROVIDER 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

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 270 MS Primary

Addresses

Primary practice location

116 Mason Street
Laurel, MS 39442-2727

Mailing address

116 Mason Street
Laurel, MS 39442-2727
Phone (601) 428-0060

Other identifiers 1

IdentifierTypeStateIssuer
00551589MedicaidMS

Other names 1

  • ASAP Ambulance Other name

National Provider Directory

National Provider Directory

Locations

116 Mason St
Laurel, MS 39440
Phone (601) 426-2727

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1356328322",
    "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 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2008-06-16",
        "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": "270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00551589",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASAP Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Laurel, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.