MID-SOUTH AMBULANCE SERVICE (NPI# 1770884090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770884090 |
| Entity Type | Organization |
| Organization Name | MID-SOUTH AMBULANCE SERVICE |
| Practice Address |
201 Signature Pl Lebanon TN 37087-3376 |
| Practice Telephone | 6154447999 |
| Practice Fax Number | 6154447919 |
| Mailing Telephone | 6154447999 |
| Mailing Fax Number | 6154447919 |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |
| Authorized Official Name | MRS. ELIZABETH L BAINES (PRESIDENT/CEO) |
| Authorized Official Telephone | 6154447999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| Street Address |
201 SIGNATURE PL |
| City | LEBANON |
| State | TN |
| Zip Code | 37087-3376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780746586 | Aaron Eugene Pryor | Dentist | 201 Signature Pl, Lebanon, TN 37087-3282 | 2006-12-15 |
| 1891199899 | Bayan Ferdowsi | Dentist | 201 Signature Pl, Lebanon, TN 37087-3376 | 2014-10-20 |
| 1982036976 | Pryor Family Dentistry, PC | Dentist | 201 Signature Pl, Lebanon, TN 37087-3376 | 2013-08-01 |
| 1780972554 | Joseph E Brown | Dentist | 201 Signature Pl, Suite 101, Lebanon, TN 37087-3376 | 2011-07-14 |
| 1194011221 | David Brooks Lehman | Dentist | 201 Signature Pl, Lebanon, TN 37087-3376 | 2011-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
| 1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
| 1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
| 1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
| 1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
| 1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
| 1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
| 1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
| Find all providers in zip 37087 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 1720086721 | Marion County County Treasurer | Ambulance | 436 W Walnut St, Lebanon, KY 40033-1347 | 2005-07-13 |
| 1174525471 | City of Lebanon | Ambulance | 20 W Silver St, Lebanon, OH 45036-2028 | 2005-06-01 |
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| 1760596183 | Mercy Ambulance Services Inc | Ambulance | 1061 E Main St, Lebanon, VA 24266 | 2006-08-19 |
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| 1417487786 | Firstcare Ambulance Service, LLC | Ambulance | 5155 Wilfong Rd, Memphis, TN 38134-5611 | 2017-06-19 |
| 1083158570 | Shelby County Government | Ambulance | 1075 Mullins Station Rd, Bldg. C, 2nd Floor, Memphis, TN 38134-7730 | 2016-12-19 |
| 1245789452 | Americare Emergency Medical Service, LLC | Ambulance | 1321 Murfreesboro Pike Ste 601, Nashville, TN 37217-2677 | 2016-09-28 |
| 1851844633 | Med Transport Memphis, LLC | Ambulance | 1005 Tillman St Ste 213, Memphis, TN 38112-2038 | 2016-07-28 |
| 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.