Organization
PAFFORD MEDICAL SERVICES OF MISSISSIPPI, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY D CLARK (COMPLIANCE OFFICER)
(800) 451-8036
Entity
Organization
Contact information
Practice address
901 E SUNFLOWER RD, CLEVELAND, MS 38732-2833
(800) 451-8036
(870) 777-8479
Mailing address
PO BOX 1120, HOPE, AR 71802-1120
(800) 451-8036
(870) 777-8479
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02382301
—
MS
05
—
179410715
—
AR
Enumeration date
09/22/2006
Last updated
05/26/2017
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