Organization
MEDSTAT EMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SCOTT TIERNEY (EVP, CHIEF FINANCIAL OFFICER)
(833) 703-2294
Entity
Organization
Contact information
Practice address
506 N APPLEGATE ST, WINONA, MS 38967-1829
(662) 283-8905
Mailing address
PO BOX 198408, ATLANTA, GA 30384-8408
(800) 913-9106
(330) 384-4019
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
244
MS
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000550460
—
MS
05
—
1514438
—
TN
Enumeration date
05/10/2006
Last updated
03/16/2026
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