Delta EMS

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

DELTA EMS

Doing business as

Delta EMS

Practice address

1800 Cheryl St
Clarksdale, MS 38614-7219

Phone

(901) 430-4541

NPI assigned

Nov 4, 2019

Organization subpart

No

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

Authorized official

Name

Devan Edward Simpson

Title

Cao

Phone

(901) 430-4541

Specialties & licenses 1

Addresses

Other names 1

• Delta EMS Doing business as

Locations

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1649814401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 CHERYL ST",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386147219",
            "telephone_number": "662-374-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 CHERYL ST",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386147219",
            "telephone_number": "901-430-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "DEVAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "901-430-4541"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Delta EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.