Med Express of Mississppi

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

177 Issued in MS

Legal business name

MED EXPRESS OF MISSISSPPI

Practice address

121A Lancaster Cir
Houston, MS 38851-8767

Phone

(205) 695-9800

Fax

(205) 695-7677

NPI assigned

May 2, 2006

Organization subpart

No

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

Authorized official

Name

Larry Lunan

Title

Ceo

Phone

(205) 695-9800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912965617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1497",
            "city": "VERNON",
            "state": "AL",
            "postal_code": "355921497",
            "telephone_number": "205-695-9800",
            "fax_number": "205-695-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121A LANCASTER CIR",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "388518767",
            "telephone_number": "205-695-9800",
            "fax_number": "205-695-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED EXPRESS OF MISSISSPPI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUNAN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-695-9800"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MS",
            "license": "177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00553610",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danny Derek Lantrip, NP
• Lotts of Love
• Madison East Internal Medicine LLC
• Amanda Brand Mahan, FNP-C
• MCM of Mississippi LLC
• Mississippi State Department of Health
• Mississippi State Department of Health
• Natalie Mitchell, LCSW
• Derek Moeller, M.D.
• Laveta Moore

• All providers in Houston, MS
• Land Ambulance in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.