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Organization
CITY OF HERNANDO AMBULANCE
Active
Organization
CITY OF HERNANDO AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIS JOHNSON (MAYOR)
(270) 744-8413
Entity
Organization
Contact information
Practice address
475 W COMMERCE ST, HERNANDO, MS 38632-2102
(270) 744-8413
(662) 429-9099
Mailing address
475 W COMMERCE ST, HERNANDO, MS 38632-2102
(662) 449-0504
(662) 429-9099
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
046-ADVANCED LIFE SU
MS
Other
Enumeration date
02/06/2007
Last updated
08/16/2022
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