# CITY OF OLIVE BRANCH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Olive Branch Fire Dept. Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245218742
- **Authorized official:** KEN ADAMS (MAYOR)
- **Authorized official phone:** (662) 892-9236

## Contact information

- **Practice address:** 9200 PIGEON ROOST RD, OLIVE BRANCH, MS 38654-2421
- **Practice address phone:** (662) 892-9236
- **Practice address fax:** (662) 892-9221
- **Mailing address:** PO BOX 9150, PADUCAH, KY 42002-9150
- **Mailing address phone:** (270) 744-9600
- **Mailing address fax:** (270) 744-9600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 105 | MS | — |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 01/04/2006
- **Last updated:** 06/05/2024