MOBILE MEDIC AMBULANCE SERVICE INC (NPI# 1184998379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184998379 |
| Entity Type | Organization |
| Organization Name | MOBILE MEDIC AMBULANCE SERVICE INC |
| Other Organization Name | AMERICAN MEDICAL RESPONSE |
| Practice Address |
600 Melvin Bender Dr Jackson MS 39213-6962 |
| Mailing Address |
Po Box 198408 Atlanta GA 30384-8408 |
| Practice Telephone | 6017134340 |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |
| Authorized Official Name | MARK BRUNING (PRESIDENT) |
| Authorized Official Telephone | 3034951220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333300000X | Emergency Response System Companies | Suppliers |
| Other Name | Type Code |
|---|---|
| American Medical Response | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114036779 | Mobile Medic Ambulance Service Inc | Ambulance | 360 W Woodrow Wilson Ave, Jackson, MS 39213-7680 | 2006-08-29 |
| 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 |
600 MELVIN BENDER DR |
| City | JACKSON |
| State | MS |
| Zip Code | 39213-6962 |
| 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 | 333300000X |
| Grouping | Suppliers |
| Classification | Emergency Response System Companies |
| A supplier of a personal emergency response system (PERS), which is an electronic device that enables a patient to receive emergency assistance when needed. The PERS is one of two different methodologies of notification: (1) where the patient summons emergency assistance themselves directly through the device or (2) emergency assistance is summoned through secure activation by the caretaker/guardian, which sends the device location to emergency responders. |
| Notes: Source: National Uniform Claim Committee, 2010 [7/1/2010: modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578562203 | Medical Services of America Inc | Emergency Response System Companies | 726 Highway 15 N, Jackson, KY 41339-8601 | 2005-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497033443 | Healthcare Solutions Group, LLC. | Emergency Response System Companies | 205 Main St N, Amory, MS 38821-3418 | 2011-07-25 |
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| 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.