Organization
PRIME MED SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY PASS (EXECUTIVE DIRECTOR)
(662) 810-7075
Entity
Organization
Contact information
Practice address
5553 HIGHWAY 145, SHANNON, MS 38868-9351
(662) 810-7075
(662) 810-7442
Mailing address
5553 HIGHWAY 145, SHANNON, MS 38868-9351
(662) 810-7075
(662) 810-7442
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
LGE 852
MS
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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