Organization Active NPI

Mississippi Ambulance Service

  • Ambulance
  • Gulfport, MS
National Provider Identifier
1760764260
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
756 Issued in MS
Legal business name
MISSISSIPPI AMBULANCE SERVICE
Practice address
11545 Old Highway 49
Gulfport, MS 39503-2654
Phone
(601) 508-6554
NPI assigned
Sep 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Authorized official

Name
Julie Cain
Title
President
Phone
(601) 928-6604

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 756 MS Primary
Ambulance 341600000X 757 MS

Addresses

Primary practice location

11545 Old Highway 49
Gulfport, MS 39503-2654

Mailing address

11545 Old Highway 49
Gulfport, MS 39503-2654

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1760764260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11545 OLD HIGHWAY 49",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11545 OLD HIGHWAY 49",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032654",
            "telephone_number": "601-508-6554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-928-6604"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MS",
            "license": "756",
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MS",
            "license": "757",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.