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Organization
AAA AMBULANCE SERVICE
Active
Organization
AAA AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA JEFCOAT CPA (CHIEF FINANCIAL OFFICER)
(601) 264-3581
Entity
Organization
Contact information
Practice address
100 RAWLS SPRINGS LOOP RD, HATTIESBURG, MS 39402-8491
(601) 264-2221
(601) 255-0896
Mailing address
PO BOX 17889, HATTIESBURG, MS 39404-7889
(601) 264-2221
(601) 255-0896
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
001-ALS-PARAMEDIC
MS
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00050057
—
MS
Enumeration date
08/15/2006
Last updated
10/03/2019
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