Vicksburg City Office of the City Clerk

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

143 Issued in MS

Legal business name

VICKSBURG CITY OFFICE OF THE CITY CLERK

Doing business as

Vicksburg-Warren County Ambulance Service

Practice address

1630 Walnut St
Vicksburg, MS 39180-3538

Phone

(601) 619-7887

Fax

(601) 634-4782

NPI assigned

Dec 14, 2006

Last updated

Sep 8, 2026By 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. Willis T Thompson, MAYOR

Title

Mayor

Phone

(601) 631-3718

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vicksburg-Warren County Ambulance Service Doing business as

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1366504847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 WALNUT ST",
            "address_2": "P.O. BOX 150",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803261",
            "telephone_number": "601-415-3154",
            "fax_number": "601-634-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 WALNUT ST",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803538",
            "telephone_number": "601-619-7887",
            "fax_number": "601-634-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKSBURG CITY OFFICE OF THE CITY CLERK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "WILLIS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MAYOR",
        "authorized_official_telephone_number": "601-631-3718",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MAYOR"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MS",
            "license": "143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00050052",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vicksburg-Warren County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill Vessell, COTA/L
• Jimmy F Vessell, DDS
• Vicksburg Allergy and Asthma
• Vicksburg Cardiology PLLC
• Vicksburg Center for Exceptional Children
• Vicksburg Clinic LLC
• Vicksburg Clinic LLC
• Vicksburg Clinic LLC (River Region Rural Health - FM)
• Vicksburg Clinic LLC (One Medical Plaza - RHC)
• Vicksburg Clinic LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.