# NORTH MISSISSIPPI GROUND AMBULANCE, LLC

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

## Provider details

- **NPI number:** 1760832638
- **Authorized official:** SHARON NOBLES (CFO)
- **Authorized official phone:** (662) 377-2670

## Contact information

- **Practice address:** 1361 S GREEN ST, TUPELO, MS 38804-6304
- **Practice address phone:** (662) 377-4243
- **Mailing address:** 830 S GLOSTER ST, TUPELO, MS 38801-4934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 06/21/2016
- **Last updated:** 01/17/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 07658079 | — | MS |