Organization
MISS-LOU AMBULANCE SERVICE LLC
Active
Other names
METRO RURAL SERVICES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN SMITH (MANAGER)
(601) 422-7281
Entity
Organization
Contact information
Practice address
158 COL JOHN PITCHFORD PKWY, NATCHEZ, MS 39120-5280
(601) 304-5350
(601) 304-5508
Mailing address
PO BOX 965, NATCHEZ, MS 39121-0965
(601) 304-5350
(601) 304-5508
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0553931
—
MS
05
—
1149616
—
LA
Enumeration date
09/22/2006
Last updated
07/09/2021
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