NPIMap

Organization Active NPI

Wayne General Ambulance

  • Ambulance
  • Waynesboro, MS
National Provider Identifier
1366614901
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
149 Issued in MS
Legal business name
WAYNE GENERAL AMBULANCE
Practice address
950 Matthew Dr
Waynesboro, MS 39367-2567
Phone
(601) 735-5151
Fax
(601) 735-7168
NPI assigned
Mar 24, 2008
Last updated
May 7, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
WAYNE GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
David Porter
Title
Ceo
Phone
(601) 735-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 149 MS Primary

Addresses

Primary practice location

950 Matthew Dr
Waynesboro, MS 39367-2567

Mailing address

950 Matthew Dr
Waynesboro, MS 39367-2567
Phone (601) 735-5151

National Provider Directory

National Provider Directory
Tax ID family
Wayne General Ambulance14 organizations share this tax ID, including this one
Part of
Wayne General Ambulance

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1366614901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 MATTHEW DR",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672567",
            "telephone_number": "601-735-5151",
            "fax_number": "601-735-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 MATTHEW DR",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672567",
            "telephone_number": "601-735-5151",
            "fax_number": "601-735-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE GENERAL AMBULANCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAYNE GENERAL HOSPITAL",
        "enumeration_date": "2008-03-24",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-735-7100"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MS",
            "license": "149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.