Organization
CITY OF OLIVE BRANCH
Active
Other names
Olive Branch Fire Dept. Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
KEN ADAMS (MAYOR)
(662) 892-9236
Entity
Organization
Contact information
Practice address
9200 PIGEON ROOST RD, OLIVE BRANCH, MS 38654-2421
(662) 892-9236
(662) 892-9221
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-9600
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
105
MS
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000016581
BLUE CROSS BLUE SHIELD
MS
05
—
00050725
—
MS
05
—
4581042
—
TN
Enumeration date
01/04/2006
Last updated
06/05/2024
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