CITY OF HORN LAKE (NPI# 1407969330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407969330 |
| Entity Type | Organization |
| Organization Name | CITY OF HORN LAKE |
| Other Organization Name | CITY OF HORN LAKE AMBULANCE SERVICE |
| Practice Address |
6363 Highway 301 Walls MS 38680 |
| Mailing Address |
3101 Goodman Rd W Horn Lake MS 38637-1173 |
| Practice Telephone | 6627811157 |
| Practice Fax Number | 6627817895 |
| Mailing Telephone | 6623420839 |
| Mailing Fax Number | 6622801736 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-03-23 |
| Authorized Official Name | ALLEN B LATIMER (MAYOR) |
| Authorized Official Telephone | 6627811157 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
1770 | MS | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 08657221 | 05 | |
| MS | BLUE CROSS BLUE SHIELD | ========= | 01 |
| Other Name | Type Code |
|---|---|
| City of Horn Lake Ambulance Service | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6770 Tulane Rd, Horn Lake, MS 386371647 | 6627811157 | 6627817895 |
| Street Address |
6363 HIGHWAY 301 |
| City | WALLS |
| State | MS |
| Zip Code | 38680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861928541 | Metro Treatment of Mississippi Lp | Clinic/Center | 8900 Delta Bluffs Cove, Walls, MS 38680 | 2017-05-02 |
| 1144625369 | Christian Muenyi | Pharmacist | 5840 Cedar Lake Drive N, Walls, MS 38680 | 2014-10-30 |
| 1174798417 | Mississippi Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6040 Goodman Rd, Walls, MS 38680 | 2008-04-28 |
| 1093203978 | Adrian Hall | Counselor | 8900 Delta Bluffs Cove, Walls, MS 38680 | 2018-04-26 |
| 1194213132 | Alicia Nicole Danley | Counselor | 8900 Delta Bluff Cv, Walls, MS 38680-4400 | 2018-04-25 |
| 1508354945 | Ishita Pareek | Counselor | 8900 Delta Bluff Cv, Walls, MS 38680-4400 | 2018-05-01 |
| 1417570029 | Vrf Eye Specialty Group, Plc | Ophthalmology | 5800 Delta View Rd, Walls, MS 38680-8341 | 2020-05-19 |
| 1790249076 | Curstin Deneen Temes | Occupational Therapy Assistant | 7748 Tucker Dr, Walls, MS 38680-8579 | 2019-01-30 |
| 1487041364 | A.d.l. Transportation LLC | Non-emergency Medical Transport (VAN) | 7753 Bailee Ln, Walls, MS 38680-8580 | 2015-04-19 |
| 1154787646 | Compassionate Hearts Home Care Services, LLC | In Home Supportive Care | 7746 Mccarson Ln, Walls, MS 38680-9553 | 2016-01-13 |
| Find all providers in zip 38680 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968180 | Caremed Ems, LLC | Ambulance | 1300 Access Rd Ste 200, Oxford, MS 38655-5211 | 2020-10-06 |
| 1538604970 | Priority Medical Transportation, Inc. | Ambulance | 2653 W Oxford Loop Ste 101a, Oxford, MS 38655-2928 | 2016-12-20 |
| 1760832638 | North Mississippi Ground Ambulance, LLC | Ambulance | 1361 S Green St, Tupelo, MS 38804-6304 | 2016-06-21 |
| 1386038958 | Medicone Medical Response of Northern Mississippi, Inc | Ambulance | 5226 Hacks Cross Rd, Olive Branch, MS 38654-8158 | 2015-03-23 |
| 1972995637 | Fleetwood Transport Services LLC | Ambulance | 1146 Crockett Loop S, Hernando, MS 38632-8369 | 2015-03-04 |
| 1659653483 | Asap Ems Corporation | Ambulance | 116 Mason St, Laurel, MS 39440-4448 | 2011-09-19 |
| 1295028207 | First Call Ambulance Service, LLC | Ambulance | 240 Stateline Road West, Southaven, MS 38671 | 2011-05-24 |
| 1811208309 | Rural Rapid Response Inc | Ambulance | 165 Walnut St. South, Meadville, MS 39653 | 2010-06-29 |
| 1851555072 | Emmanuel Medical Transports and Services | Ambulance | 1332 Rasco Rd, Suite 344, Southaven, MS 38671 | 2008-07-16 |
| 1386822872 | Yazoo Ambulance Service, Inc. | Ambulance | 780 E Fourteenth St, Yazoo City, MS 39194-2712 | 2008-02-06 |
| Find all providers with the same taxonomy | ||||
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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.