Organization
WAYNE GENERAL AMBULANCE
Active
Parent organization
WAYNE GENERAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAYNE GENERAL HOSPITAL
Authorized official
DAVID PORTER (CEO)
(601) 735-7100
Entity
Organization
Contact information
Practice address
950 MATTHEW DR, WAYNESBORO, MS 39367-2567
(601) 735-5151
(601) 735-7168
Mailing address
950 MATTHEW DR, WAYNESBORO, MS 39367-2567
(601) 735-5151
(601) 735-7168
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
149
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00050365
—
MS
Enumeration date
03/24/2008
Last updated
05/07/2024
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