MOBILE MEDIC AMBULANCE SERVICE INC (NPI# 1114036779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114036779 |
| Entity Type | Organization |
| Organization Name | MOBILE MEDIC AMBULANCE SERVICE INC |
| Other Organization Name | AMERICAN MEDICAL RESPONSE |
| Practice Address |
360 W Woodrow Wilson Ave Jackson MS 39213-7680 |
| Mailing Address |
Po Box 198048 Atlanta GA 30384-8408 |
| Practice Telephone | 6017134340 |
| Practice Fax Number | 6019822297 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DON S HARVEY (PRESIDENT AND CEO) |
| Authorized Official Telephone | 3034951229 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0059035 | 05 | |
| HEALTHSPRINGS OF AL | 39144 | 01 | |
| MS | SECTION 1011 | MS0000D100229 | 01 |
| SENIOR 1ST HEALTHSPRINGS | 39144 | 01 |
| Other Name | Type Code |
|---|---|
| American Medical Response | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184998379 | Mobile Medic Ambulance Service Inc | Emergency Response System Companies | 600 Melvin Bender Dr, Jackson, MS 39213-6962 | 2012-03-06 |
| 1366492910 | Mobile Medic Ambulance Service Inc | Ambulance | 12020 Intraplex Pkwy, Gulfport, MS 39503-4602 | 2006-05-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MOBILE MEDIC AMBULANCE SERVICE INC | 12020 Intraplex Plz, Gulfport, MS 39503-4602 |
| Street Address |
360 W WOODROW WILSON AVE |
| City | JACKSON |
| State | MS |
| Zip Code | 39213-7680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679117980 | Cynthia Bailey | Technician | 916 Carnation Street, Jackson, MS 39213 | 2019-10-30 |
| 1871136374 | Shirley Collins Williams | Technician | 3132 Sage St, Jackson, MS 39213 | 2019-10-28 |
| 1275057069 | Nikita Patel | Pharmacist | 830 West Woodrow Wilson Avenue, Jackson, MS 39213 | 2017-08-02 |
| 1346782893 | Mississippi Smiles Dentistry LLC | Dentist | 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 | 2016-11-15 |
| 1730637521 | Ms Eyecare Associates of Jackson, Pllc. | Optometrist | 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 | 2016-09-21 |
| 1518410778 | Assurance Home Health Services, LLC | Health Maintenance Organization | 1771 Hamilton Blvd., Jackson, MS 39213 | 2016-07-25 |
| 1831576180 | Dorothy Jeffries Anderson | Counselor | 350 Woodrow Wilson Ave, Jackson, MS 39213 | 2015-05-06 |
| 1740697275 | Sincere Home Care LLC. | Chore Provider | 5911 Holmes Ct, Jackson, MS 39213 | 2014-07-16 |
| 1629401088 | Deborah Diane Wright | Assisted Living Facility | 5911 Holmes Court, Jackson, MS 39213 | 2013-08-20 |
| 1245663251 | Methodist Home Road Living Center | Licensed Practical Nurse | 4560 Methodist Home Road, Jackson, MS 39213 | 2013-08-13 |
| Find all providers in zip 39213 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917504 | Medevac Alabama Inc | Ambulance | 3738 N College Ave, Jackson, AL 36545-2225 | 2020-06-18 |
| 1598232480 | Arrowood Inc. | Ambulance | 2470 Highway 15 N, Jackson, KY 41339-9406 | 2018-10-29 |
| 1679746333 | Jackson First Alert | Ambulance | 18908 Atomic Rd., Jackson, SC 29831 | 2008-04-02 |
| 1588868400 | Northampton County | Ambulance | 132 Landfeild Road, Jackson, NC 27845 | 2007-06-13 |
| 1720204811 | Jackson First Alert | Ambulance | 508 Atomic Street, Jackson, SC 29831 | 2007-04-17 |
| 1942386289 | Butts County Board of Commissioners | Ambulance | 154 Sylvan Drive, Jackson, GA 30233 | 2006-10-30 |
| 1811915648 | Jackson Volunteer Ambulance | Ambulance | 305 Sheridan Str, Jackson, MN 56143-0242 | 2006-07-18 |
| 1811542681 | Amador Fire Protection District | Ambulance | 810 Court St, Jackson, CA 95642-2132 | 2019-08-07 |
| 1093251845 | Reliant Medical Transportation, LLC | Ambulance | 13 Northtown Dr, Suite 130, Jackson, MS 39211-3047 | 2017-01-17 |
| 1720117286 | Mississippi Baptist Medical Center | Ambulance | 1225 N State St, Jackson, MS 39202-2064 | 2007-03-02 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on MOBILE MEDIC AMBULANCE SERVICE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.