Organization Active NPI

Metro Ambulance Service Rural Inc

Doing business as American Medical Response

  • Ambulance
  • Natchez, MS
National Provider Identifier
1619071941
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
METRO AMBULANCE SERVICE RURAL INC
Doing business as
American Medical Response
Practice address
420 John R Junkin Dr
Natchez, MS 39120-3826
Phone
(601) 442-4259
NPI assigned
Sep 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Timothy Joseph Dorn
Title
Chief Administrative Officer
Phone
(833) 703-2294

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

420 John R Junkin Dr
Natchez, MS 39120-3826

Mailing address

PO Box 198408
Atlanta, GA 30384-8408
Phone (800) 913-9106

Other practice location 1

1614 Ee Wallace Blvd N
Ferriday, LA 71334-2241
Phone (318) 757-6682

Other identifiers 3

IdentifierTypeStateIssuer
000550035MedicaidMS
2493019MedicaidLA
2492985MedicaidLA

Other names 1

  • American Medical Response Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080219000291 MS Part B Supplier - Ambulance Service Supplier 8426131186 1 other NPI on this enrollment
Practice locations: Liberty, MS; Natchez, MS; Centreville, MS
O20100306000007 LA Part B Supplier - Ambulance Service Supplier 8426131186 Practice locations: Rosepine, LA; Rayne, LA; Port Barre, LA; Opelousas, LA; Oakdale, LA; Longville, LA; Leesville, LA; Jonesville, LA…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D1061107Metro Ambulance Service (Rural) Inc420 John R Junkin Drive, Natchez, MS 39120Certificate of waiverNov 8, 2026

National Provider Directory

National Provider Directory
Tax ID family
American Medical Response2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2550 N Bolton Ave
Alexandria, LA 71303
Phone (318) 757-6682

410 SW Main St
Bunkie, LA 71322

922 N Avenue G
Crowley, LA 70526

1409 EE Wallace Blvd N
Ferriday, LA 71334
Phone (601) 442-4259

1614 EE Wallace Blvd N
Ferriday, LA 71334
Phone (318) 757-6682

13253 Highway 73
Ste Lo
Geismar, LA 70734

300 S 2nd St
Leesville, LA 71446

319 Highway 165 S
Ste Ab
Oakdale, LA 71463

5245 I 49 S Service Rd
Opelousas, LA 70570

1138 N Main St
Opelousas, LA 70570

104 Oak St
Rayne, LA 70578

18399 Johnny B Hall Memorial Hwy
Rosepine, LA 70659
Phone (337) 463-7535

408 W Cotton St
Ville Platte, LA 70586

2082 Obrie St
Zwolle, LA 71486

110 S Lafayette St
Centreville, MS 39631
Phone (601) 645-6661

190 Highway 61 S
Natchez, MS 39120
Phone (318) 322-8773

420 John R Junkin Dr
Natchez, MS 39120
Phone (601) 442-4259

430 John R Junkin Dr
Natchez, MS 39120

104 N Beech St
Port Gibson, MS 39150
Phone (601) 437-9077

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1619071941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198408",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848408",
            "telephone_number": "800-913-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 JOHN R JUNKIN DR",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391203826",
            "telephone_number": "601-442-4259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1614 Ee Wallace Blvd N",
            "address_purpose": "LOCATION",
            "city": "Ferriday",
            "state": "LA",
            "postal_code": "713342241",
            "country_code": "US",
            "telephone_number": "318-757-6682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "METRO AMBULANCE SERVICE RURAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "DORN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "833-703-2294"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000550035",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2493019",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2492985",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Medical Response",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "American Medical Response",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.