# YAZOO AMBULANCE SERVICE, INC.

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

## Provider details

- **NPI number:** 1386822872
- **Authorized official:** MS. BRANDIE COLQUITT (VICE PRESIDENT OF BILLING)
- **Authorized official phone:** (706) 885-1730

## Contact information

- **Practice address:** 780 E FOURTEENTH ST, YAZOO CITY, MS 39194-2712
- **Practice address phone:** (662) 746-7444
- **Practice address fax:** (662) 746-8862
- **Mailing address:** 780 E FOURTEENTH ST, YAZOO CITY, MS 39194-2712
- **Mailing address phone:** (662) 746-7444
- **Mailing address fax:** (662) 746-8862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 989 | MS | Yes |

## Other

- **Enumeration date:** 02/06/2008
- **Last updated:** 02/06/2008