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METRO AMBULANCE SERVICE RURAL INC NPI 1619071941


NPI Information

NPI: 1619071941
Provider Name: METRO AMBULANCE SERVICE RURAL INC

Doing Business As: AMERICAN MEDICAL RESPONSE

Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 25D1061107

Address:
420 JOHN R JUNKIN DR
NATCHEZ, MS
ZIP 39120
Phone: (601) 442-4259
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METRO AMBULANCE SERVICE RURAL INC is an ambulance in Natchez, MS. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). METRO AMBULANCE SERVICE RURAL INC NPI is 1619071941. The provider is registered as an organization entity type.
The provider Is Doing Business As American Medical Response.

The provider's business location address is:

420 JOHN R JUNKIN DR
NATCHEZ, MS
ZIP 39120-826
Phone: (601) 442-4259

The provider's authorized official is Eric Thomas .
The authorized official title is Svp Of Revenue Management and has the following contact phone number (833) 703-2294.

The CLIA number assigned to this NPI record is 25D1061107 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2006 and was last updated on 4/16/2021.


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
1341600000XAmbulanceYes
23416L0300XAmbulanceLand TransportNo

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
1590000058OTHERMISSISSIPPIMEDICARE PTAN
2LA0000D100168OTHERLOUISIANASECTION 1011
31991988MEDICAIDLOUISIANA
4590008529OTHERMISSISSIPPIMEDICARE RR
50550035MEDICAIDMISSISSIPPI

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: 5/5/2024

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