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Organization
FRANKLIN AMBULANCE SERVICE
Active
Organization
FRANKLIN AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD LEROY WENTWORTH SR. (OWNER)
(601) 384-2040
Entity
Organization
Contact information
Practice address
46 BUNKLEY ROAD SW, MAIN STREET, MEADVILLE, MS 39653
(601) 384-2040
(601) 384-2040
Mailing address
PO BOX 475, MEADVILLE, MS 39653
(601) 384-2040
(601) 384-2040
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
036-BASIC LIFE
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000117407
BCBS
MS
01
—
000017407
BLUE CROSS/BLUE SHIELD
MS
05
—
00050220
—
MS
01
—
590015574
RAILROAD MEDICARE
—
Enumeration date
10/04/2006
Last updated
06/18/2008
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