Medstat EMS Inc
Organization Active NPI Ambulance · Winona, MS
NPI 1770533176 · NPPES record last updated Mar 16, 2026
Key facts
- NPI
- 1770533176
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 244 (MS)
- Legal business name
- MEDSTAT EMS INC
- Practice address
- 506 N Applegate St
Winona, MS 38967-1829 - Phone
- (662) 283-8905
- NPI assigned
- May 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Brian Scott Tierney
- Title
- Evp, Chief Financial Officer
- Phone
- (833) 703-2294
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2209151 | Medstat EMS | Certificate of waiver | Jan 11, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080424000782 | MS | Part B Supplier - Ambulance Service Supplier | 0840378295 | Practice locations: Winona, MS; Starkville, MS |
National Provider Directory
Locations
406 Chestnut St
Aberdeen, MS 39730
Phone (662) 319-9072
60002 Ritter Rd
Amory, MS 38821
Phone (662) 256-1517
309 Highway 51 N
Batesville, MS 38606
Phone (662) 561-0166
1515 Lasalle St
Greenwood, MS 38930
Phone (662) 455-7724
717 Veterans Memorial Dr
Kosciusko, MS 39090
Phone (662) 289-0516
655 Middleton Rd
Winona, MS 38967
Phone (662) 283-1100
108 S Front St
Winona, MS 38967
Phone (662) 283-1110
506 N Applegate St
Winona, MS 38967
Phone (662) 283-1110
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 244 | MS | Yes |
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
506 N Applegate St
Winona, MS 38967-1829
Mailing address
PO Box 198408
Atlanta, GA 30384-8408
Phone (800) 913-9106
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1514438 | Medicaid | TN | |
| 000550460 | Medicaid | MS |
Other providers in Winona, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.