Organization
MOBILE MEDIC AMBULANCE SERVICE INC
Active
Other names
American Medical Response, AMR
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SCOTT TIERNEY (EVP, CHIEF FINANCIAL OFFICER)
(833) 703-2294
Entity
Organization
Contact information
Practice address
600 MELVIN BENDER DR, JACKSON, MS 39213-6962
(601) 713-4340
Mailing address
PO BOX 198408, ATLANTA, GA 30384-8048
(800) 913-9106
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000716
—
MS
05
—
1962287
—
LA
Enumeration date
05/12/2006
Last updated
03/16/2026
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