NPIMap

Organization Active NPI

City of Horn Lake

Doing business as City of Horn Lake Ambulance Service

  • Land Ambulance
  • Walls, MS
National Provider Identifier
1407969330
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1770 Issued in MS
Legal business name
CITY OF HORN LAKE
Doing business as
City of Horn Lake Ambulance Service
Horn Lake Fire and EMS
Practice address
6363 Highway 301
Walls, MS 38680
Phone
(662) 781-1157
Fax
(662) 781-7895
NPI assigned
Aug 16, 2006
Last updated
Jun 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Christy Pounders
Title
Office Administrator
Phone
(662) 781-1157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1770 MS Primary

Addresses

Primary practice location

6363 Highway 301
Walls, MS 38680

Mailing address

3101 Goodman Rd W
Horn Lake, MS 38637-1173
Phone (662) 342-0839

Other practice location 1

6770 Tulane Rd
Horn Lake, MS 38637-1647
Phone (662) 781-1157

Other identifiers 2

IdentifierTypeStateIssuer
=========OtherMSBLUE CROSS BLUE SHIELD
08657221MedicaidMS

Other names 2

  • City of Horn Lake Ambulance Service Doing business as
  • Horn Lake Fire and EMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120613000176 MS Part B Supplier - Ambulance Service Supplier 0749444214 Practice locations: Horn Lake, MS; Walls, MS

National Provider Directory

National Provider Directory

Locations

3101 Goodman Rd W
Horn Lake, MS 38637
Phone (662) 781-1157

6770 Tulane Rd
Horn Lake, MS 38637
Phone (662) 393-7669

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1407969330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 GOODMAN RD W",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "386371173",
            "telephone_number": "662-342-0839",
            "fax_number": "662-280-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 HIGHWAY 301",
            "city": "WALLS",
            "state": "MS",
            "postal_code": "38680",
            "telephone_number": "662-781-1157",
            "fax_number": "662-781-7895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6770 Tulane Rd",
            "address_purpose": "LOCATION",
            "city": "Horn Lake",
            "state": "MS",
            "postal_code": "386371647",
            "country_code": "US",
            "telephone_number": "662-781-1157",
            "fax_number": "662-781-7895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CITY OF HORN LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "POUNDERS",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "662-781-1157"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MS",
            "license": "1770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "=========",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08657221",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Horn Lake Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Horn Lake Fire and EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walls, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.