Organization
MISSISSIPPI AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE CAIN (PRESIDENT)
(601) 928-6604
Entity
Organization
Contact information
Practice address
11545 OLD HIGHWAY 49, GULFPORT, MS 39503-2654
(601) 508-6554
Mailing address
11545 OLD HIGHWAY 49, GULFPORT, MS 39503-2654
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
756
MS
341600000X
Ambulance
757
MS
Other
Enumeration date
09/12/2011
Last updated
09/14/2011
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