# DESOTO COUNTY BOARD OF SUPERVISORS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DESOTO COUNTY EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902986763
- **Authorized official:** MR. ROBERT I STOREY JR. (DIRECTOR OF EMERGENCY SERVICES)
- **Authorized official phone:** (662) 449-1104

## Contact information

- **Practice address:** 365 LOSHER ST, SUITE 120, HERNANDO, MS 38632-2138
- **Practice address phone:** (662) 449-1104
- **Practice address fax:** (662) 429-5582
- **Mailing address:** 365 LOSHER ST, SUITE 120, HERNANDO, MS 38632-2138
- **Mailing address phone:** (662) 449-1104
- **Mailing address fax:** (662) 429-5582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 317 | MS | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 08/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 03072881 | — | MS |
| 05 | — | 05100063 | — | MS |
| 05 | — | 071073272 | — | MS |