CITY OF OLIVE BRANCH NPI 1245218742

NPI Information

NPI: 1245218742
Provider Name: CITY OF OLIVE BRANCH
Classification: Ambulance - 3416L0300X
Specialization: Land Transport
Entity Type: Organization
Doing Business As: OLIVE BRANCH FIRE DEPT. AMBULANCE
Address: 9200 PIGEON ROOST RD
OLIVE BRANCH, MS
ZIP 38654
Phone: (662) 892-9236

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NPI Details

CITY OF OLIVE BRANCH is a land transport ambulance in Olive Branch, MS. CITY OF OLIVE BRANCH NPI is 1245218742. The provider is registered as an organization entity type.
The provider Is Doing Business As Olive Branch Fire Dept. Ambulance.

The provider's business location address is:

9200 PIGEON ROOST RD
OLIVE BRANCH, MS
ZIP 38654-421
Phone: (662) 892-9236
Fax: (662) 892-9221

The provider's authorized official is Ken Adams .
The authorized official title is Mayor and has the following contact phone number (662) 892-9236.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Ground mileage, per statute mile (HCPCS:A0425)
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)
Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)
Advanced life support, level 2 (als 2) (HCPCS:A0433)

The enumeration date for this NPI number is 1/4/2006 and was last updated on 6/5/2024.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	341600000X	Ambulance		105	MISSISSIPPI	No
2	3416L0300X	Ambulance	Land Transport			Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000016581	OTHER	MISSISSIPPI	BLUE CROSS BLUE SHIELD
2	4581042	MEDICAID	TENNESSEE
3	00050725	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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