CITY OF SOUTHAVEN NPI 1215033865

NPI Information

CITY OF SOUTHAVEN is a land transport ambulance in Southaven, MS. CITY OF SOUTHAVEN NPI is 1215033865. The provider is registered as an organization entity type.
The provider Is Doing Business As Southaven Fire Department Ambulance Service.

The provider's business location address is:

8710 NORTHWEST DR
SOUTHAVEN, MS
ZIP 38671-410
Phone: (662) 393-7466
Fax: (662) 393-7294

The provider's authorized official is Danny Scallions .
The authorized official title is Fire Chief and has the following contact phone number (662) 393-7466.

The CLIA number assigned to this NPI record is 25D2223617 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 2/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.