Organization
NORTH MISSISSIPPI GROUND AMBULANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON NOBLES (CFO)
(662) 377-2670
Entity
Organization
Contact information
Practice address
1361 S GREEN ST, TUPELO, MS 38804-6304
(662) 377-4243
Mailing address
830 S GLOSTER ST, TUPELO, MS 38801-4934
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07658079
—
MS
Enumeration date
06/21/2016
Last updated
01/17/2020
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