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Organization

DESOTO COUNTY OFFICE OF BOARD OF SUPERVISORS

Active
Other names
DeSoto County EMS
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN MARK DAVIS (DIRECTOR)
(662) 469-8016
Entity
Organization

Contact information

Practice address
6085 HIGHWAY 161, WALLS, MS 38680-9793
(662) 469-8016
(336) 791-0196
Mailing address
830 OLD HIGHWAY 51 N, NESBIT, MS 38651-9591
(662) 469-8016
(336) 791-0196

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
317
MS
3416L0300X
Land Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05100063
MS
01
710650800
DOL
MS
05
Q012849
TN
Enumeration date
01/11/2008
Last updated
11/11/2025
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