# CITY OF HORN LAKE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** City of Horn Lake Ambulance Service, Horn Lake Fire and EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407969330
- **Authorized official:** CHRISTY POUNDERS (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (662) 781-1157

## Contact information

- **Practice address:** 6363 HIGHWAY 301, WALLS, MS 38680
- **Practice address phone:** (662) 781-1157
- **Practice address fax:** (662) 781-7895
- **Mailing address:** 3101 GOODMAN RD W, HORN LAKE, MS 38637-1173
- **Mailing address phone:** (662) 342-0839
- **Mailing address fax:** (662) 280-1736

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 1770 | MS | Yes |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 06/10/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 08657221 | — | MS |
| 01 | — | ========= | BLUE CROSS BLUE SHIELD | MS |