Organization
DESOTO COUNTY BOARD OF SUPERVISORS
Active
Other names
DESOTO COUNTY EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT I STOREY JR. (DIRECTOR OF EMERGENCY SERVICES)
(662) 449-1104
Entity
Organization
Contact information
Practice address
365 LOSHER ST, SUITE 120, HERNANDO, MS 38632-2138
(662) 449-1104
(662) 429-5582
Mailing address
365 LOSHER ST, SUITE 120, HERNANDO, MS 38632-2138
(662) 449-1104
(662) 429-5582
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
317
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03072881
—
MS
05
—
05100063
—
MS
05
—
071073272
—
MS
Enumeration date
10/16/2006
Last updated
08/11/2008
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