Neshoba County Ambulance Enterprise

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

NESHOBA COUNTY AMBULANCE ENTERPRISE

Doing business as

Neshoba County Ambulance

Practice address

1001 Holland Ave
Philadelphia, MS 39350-2161

Phone

(601) 663-1260

Fax

(601) 663-1491

NPI assigned

Jul 25, 2012

Last updated

Jul 25, 2012By 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. Lawrence Graeber

Title

Ceo

Phone

(601) 663-1360

Specialties & licenses 1

Addresses

Other names 1

• Neshoba County Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1386990547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 HOLLAND AVE",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502161",
            "telephone_number": "601-663-1260",
            "fax_number": "601-663-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HOLLAND AVE",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502161",
            "telephone_number": "601-663-1260",
            "fax_number": "601-663-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESHOBA COUNTY AMBULANCE ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "GRAEBER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-663-1360",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neshoba County Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chermal Rondell Moore, NURSE PRACTITIONER
• Shannon Chaney Morrow
• Ms Eye Care, PA (Mississippi Eye Care Philadelphia)
• Lakeeia Lashoundra Myles, NP
• Kimberly Edwards Neal, LPC-S, NCC
• Neshoba County General Hospital (Neshoba Medical Associates)
• Neshoba County General Hospital
• Neshoba County General Hospital (Neshoba County General Hospital Radiology Pro Fees)
• Neshoba County General Hospital (Philadelphia School Clinic)
• Neshoba County General Hospital

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.