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Organization

CITY OF HORN LAKE

Active
Other names
City of Horn Lake Ambulance Service
Organization subpart
No

Provider details

NPI number
Authorized official
JIMMY STOKES II (MAYOR)
(662) 342-3502
Entity
Organization

Contact information

Practice address
6363 HIGHWAY 301, WALLS, MS 38680
(662) 781-1157
(662) 781-7895
Mailing address
3101 GOODMAN RD W, HORN LAKE, MS 38637-1173
(662) 342-0839
(662) 280-1736

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1770
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08657221
MS
01
=========
BLUE CROSS BLUE SHIELD
MS
Enumeration date
08/16/2006
Last updated
06/27/2025
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