Organization
BRANDYWINE HEALTH SERVICES OF MS, INC. DBA CHOCTAW CO. EMS
Active
Other names
Choctaw County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAY SHOEMAKER (ADMINISTRATOR)
(662) 285-6235
Entity
Organization
Contact information
Practice address
311 E CHERRY ST, ACKERMAN, MS 39735-9795
(662) 285-6235
(662) 285-2516
Mailing address
PO BOX 1039, ACKERMAN, MS 39735-1039
(662) 285-6235
(662) 285-2516
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
509
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06485801
—
MS
Enumeration date
10/12/2005
Last updated
06/05/2008
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