Organization Active NPI

Rural Rapid Response Inc

  • Land Ambulance
  • Meadville, MS
National Provider Identifier
1811208309
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
RURAL RAPID RESPONSE INC
Practice address
165 Walnut St. South
Meadville, MS 39653
Phone
(601) 384-4002
Fax
(601) 384-4001
NPI assigned
Jun 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Authorized official

Name
Mr. Tyler Brantley Blalock, EMT PARAMEDIC
Title
President
Phone
(601) 431-0057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

165 Walnut St. South
Meadville, MS 39653

Mailing address

PO Box 577
Meadville, MS 39653-0577
Phone (601) 384-4002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110407000065 MS Part B Supplier - Ambulance Service Supplier 5597949065 Practice locations: Meadville, MS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1811208309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577",
            "city": "MEADVILLE",
            "state": "MS",
            "postal_code": "396530577",
            "telephone_number": "601-384-4002",
            "fax_number": "601-384-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 WALNUT ST. SOUTH",
            "city": "MEADVILLE",
            "state": "MS",
            "postal_code": "39653",
            "telephone_number": "601-384-4002",
            "fax_number": "601-384-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL RAPID RESPONSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "BLALOCK",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "BRANTLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-431-0057",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.