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Organization
WAYNE GENERAL AMBULANCE
Active
Organization
WAYNE GENERAL AMBULANCE
Active
Parent organization
WAYNE GENERAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAYNE GENERAL HOSPITAL
Authorized official
DAVID PORTER (CEO)
(601) 735-7100
Entity
Organization
Contact information
Practice address
950 MATTHEW DR, WAYNESBORO, MS 39367-2567
(601) 735-5151
(601) 735-7168
Mailing address
950 MATTHEW DR, WAYNESBORO, MS 39367-2567
(601) 735-5151
(601) 735-7168
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
149
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00050365
—
MS
Enumeration date
03/24/2008
Last updated
05/07/2024
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