NPIMap

Organization Active NPI

Desoto County Board of Supervisors

Doing business as Desoto County EMS

  • Land Ambulance
  • Hernando, MS
National Provider Identifier
1902986763
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
317 Issued in MS
Legal business name
DESOTO COUNTY BOARD OF SUPERVISORS
Doing business as
Desoto County EMS
Practice address
365 Losher St
Suite 120
Hernando, MS 38632-2138
Phone
(662) 449-1104
Fax
(662) 429-5582
NPI assigned
Oct 16, 2006
Last updated
Aug 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Mr. Robert I Storey Jr.
Title
Director of Emergency Services
Phone
(662) 449-1104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 317 MS Primary

Addresses

Primary practice location

365 Losher St
Suite 120
Hernando, MS 38632-2138

Mailing address

365 Losher St
Suite 120
Hernando, MS 38632-2138
Phone (662) 449-1104

Other identifiers 3

IdentifierTypeStateIssuer
071073272MedicaidMS
03072881MedicaidMS
05100063MedicaidMS

Other names 1

  • DESOTO COUNTY EMS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1902986763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 LOSHER ST",
            "address_2": "SUITE 120",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386322138",
            "telephone_number": "662-449-1104",
            "fax_number": "662-429-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 LOSHER ST",
            "address_2": "SUITE 120",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386322138",
            "telephone_number": "662-449-1104",
            "fax_number": "662-429-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO COUNTY BOARD OF SUPERVISORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "STOREY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DIRECTOR OF EMERGENCY SERVICES",
        "authorized_official_telephone_number": "662-449-1104",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MS",
            "license": "317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071073272",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03072881",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05100063",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DESOTO COUNTY EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hernando, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.