Lauderdale County EMS District

Primary specialty

AmbulanceTaxonomy code 341600000X

License

082-ALS-PARMEDIC Issued in MS

Legal business name

LAUDERDALE COUNTY EMS DISTRICT

Doing business as

Metro Ambulance Service

Practice address

502 17TH Ave
Meridian, MS 39301-5226

Phone

(601) 485-2958

Fax

(601) 482-1316

NPI assigned

Jul 15, 2005

Last updated

Mar 9, 2017By 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. Terry Joe Irby

Title

Office Manager

Phone

(601) 485-2958

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Metro 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": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1396744926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 667",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393020667",
            "telephone_number": "601-485-2958",
            "fax_number": "601-482-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 17TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393015226",
            "telephone_number": "601-485-2958",
            "fax_number": "601-482-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUDERDALE COUNTY EMS DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "IRBY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-485-2958",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MS",
            "license": "082-ALS-PARMEDIC",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MS",
            "license": "082",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050884",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290041290",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Creekmore Lane, RN, CDCES
• Langston Jett Enterprises, LLC
• Breonka Nicole Larkin, MSN APRN FNP-C
• Mary Robin Larkin, MD
• Lauderdale Co. School District
• Lauderdale County School System
• Lauderdale County Schools
• Lauderdale Emergency Group LLC
• James A Lauderdale III, DD
• Alore Lea, M.D.

• Ambulance in Meridian, MS
• Providers in Meridian, MS by specialty
• Ambulance in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.