Active NPI
Rural Rapid Response Inc
- Land Ambulance
- Meadville, MS
National Provider Identifier
1811208309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110407000065 | MS | Part B Supplier - Ambulance Service Supplier | 5597949065 | Practice locations: Meadville, MS |
National Provider Directory
National Provider DirectoryNPI 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.