# A SUPERIOR AMBULANCE PROVIDER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ASAP Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356328322
- **Authorized official:** MRS. SHERI POWELL (CFO)
- **Authorized official phone:** (601) 428-0060

## Contact information

- **Practice address:** 116 MASON STREET, LAUREL, MS 39442-2727
- **Practice address phone:** (601) 428-0060
- **Practice address fax:** (601) 425-3795
- **Mailing address:** 116 MASON STREET, LAUREL, MS 39442-2727
- **Mailing address phone:** (601) 428-0060
- **Mailing address fax:** (601) 425-3795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 270 | MS | Yes |

## Other

- **Enumeration date:** 12/29/2005
- **Last updated:** 06/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00551589 | — | MS |