BRANDYWINE HEALTH SERVICES OF MS INC. DBA CHOCTAW CO. EMS NPI 1760470728

NPI Information

  • NPI: 1760470728
  • Provider Name: BRANDYWINE HEALTH SERVICES OF MS, INC. DBA CHOCTAW CO. EMS
  • Classification: Ambulance - 341600000X
  • Entity Type: Organization
  • Doing Business As: CHOCTAW COUNTY EMS
  • Address: 311 E CHERRY ST
    ACKERMAN, MS
    ZIP 39735
  • Phone: (662) 285-6235

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NPI Details

BRANDYWINE HEALTH SERVICES OF MS, INC. DBA CHOCTAW CO. EMS is an ambulance in Ackerman, 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). BRANDYWINE HEALTH SERVICES OF MS, INC. DBA CHOCTAW CO. EMS NPI is 1760470728. The provider is registered as an organization entity type.
The provider Is Doing Business As Choctaw County Ems.

The provider's business location address is:

311 E CHERRY ST
ACKERMAN, MS
ZIP 39735-795
Phone: (662) 285-6235
Fax: (662) 285-2516

The provider's authorized official is Ray Shoemaker .
The authorized official title is Administrator and has the following contact phone number (662) 285-6235.

The enumeration date for this NPI number is 10/12/2005 and was last updated on 6/5/2008.

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
1341600000XAmbulance509MISSISSIPPIYes

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
106485801MEDICAIDMISSISSIPPI

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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