# AAA AMBULANCE SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003829375
- **Authorized official:** LYDIA JEFCOAT CPA (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (601) 264-3581

## Contact information

- **Practice address:** 100 RAWLS SPRINGS LOOP RD, HATTIESBURG, MS 39402-8491
- **Practice address phone:** (601) 264-2221
- **Practice address fax:** (601) 255-0896
- **Mailing address:** PO BOX 17889, HATTIESBURG, MS 39404-7889
- **Mailing address phone:** (601) 264-2221
- **Mailing address fax:** (601) 255-0896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 001-ALS-PARAMEDIC | MS | — |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 10/03/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00050057 | — | MS |