NPIMap

Organization Active NPI

Prime Med Service Inc

  • Non-emergency Medical Transport (VAN)
  • Shannon, MS
National Provider Identifier
1558739151
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
LGE 852 Issued in MS
Legal business name
PRIME MED SERVICE INC
Practice address
5553 Highway 145
Shannon, MS 38868-9351
Phone
(662) 810-7075
Fax
(662) 810-7442
NPI assigned
Sep 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Authorized official

Name
Tony Pass
Title
Executive Director
Phone
(662) 810-7075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X LGE 852 MS Primary

Addresses

Primary practice location

5553 Highway 145
Shannon, MS 38868-9351

Mailing address

5553 Highway 145
Shannon, MS 38868-9351
Phone (662) 810-7075

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1558739151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5553 HIGHWAY 145",
            "city": "SHANNON",
            "state": "MS",
            "postal_code": "388689351",
            "telephone_number": "662-810-7075",
            "fax_number": "662-810-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5553 HIGHWAY 145",
            "city": "SHANNON",
            "state": "MS",
            "postal_code": "388689351",
            "telephone_number": "662-810-7075",
            "fax_number": "662-810-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MED SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "PASS",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "662-810-7075"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MS",
            "license": "LGE 852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shannon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.