National Provider Identifier Database

SOUTHEAST MS AIR AMBULANCE DISTRICT
Air Transport


Contact Information

SOUTHEAST MS AIR AMBULANCE DISTRICT
207 S 28TH AVE
HATTIESBURG, MS39401-7155
Phone: 601-264-0175
Fax: 601-264-0534
Website:
Specialty Taxonomy Code
* Air Transport 3416A0800X

* Indicates primary specialty

NPI Profile & details for SOUTHEAST MS AIR AMBULANCE DISTRICT

NPI Number 1861509895
Legal business name
LBN
SOUTHEAST MS AIR AMBULANCE DISTRICT
Authorized official RICHARD SEWELL - (BUSINESS OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 08/24/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 119-ALS PARAMEDIC
  • MS Medicaid: 00050445

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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