Wayne General Ambulance
Organization Active NPI Ambulance · Waynesboro, MS
NPI 1366614901 · NPPES record last updated May 7, 2024
Key facts
- NPI
- 1366614901
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 149 (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
- Organization subpart
- Yes
- Parent organization (as reported)
- WAYNE GENERAL HOSPITAL
Authorized official
- Name
- David Porter
- Title
- Ceo
- Phone
- (601) 735-7100
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- Arthur E Medical Clinic
- Part of
- Arthur E Medical Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 149 | MS | Yes |
Addresses
Primary practice location
950 Matthew Dr
Waynesboro, MS 39367-2567
Mailing address
950 Matthew Dr
Waynesboro, MS 39367-2567
Phone (601) 735-5151
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00050365 | Medicaid | MS |
Other providers in Waynesboro, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.