Medicone Medical Response of Northern Mississippi, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

775 Issued in MS

Legal business name

MEDICONE MEDICAL RESPONSE OF NORTHERN MISSISSIPPI, INC

Practice address

5226 Hacks Cross Rd
Olive Branch, MS 38654-8158

Phone

(662) 404-8480

NPI assigned

Mar 23, 2015

Last updated

Mar 25, 2015By 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

Jim Reeves

Title

Owner/Director

Phone

(662) 404-8480

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1386038958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14290 GILLIS RD STE A",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752443724",
            "telephone_number": "866-999-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5226 HACKS CROSS RD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386548158",
            "telephone_number": "662-404-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICONE MEDICAL RESPONSE OF NORTHERN MISSISSIPPI, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "662-404-8480"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MS",
            "license": "775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Land Ambulance in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.