Olive Branch Fire Dept. Ambulance

LBN: City Of Olive Branch
Olive Branch Fire Dept. Ambulance is an health care organization with primary practice located at 9200 Pigeon Roost Rd , Olive Branch MS 38654-2421. The organization recently has 2 registered licenses in different health care specialties including Transportation Services / Ambulance, Transportation Services / Land Transport. Transportation Services / Land Transport is the primary health care specialty. City Of Olive Branch can be contacted via phone (662) 892-9236, or through Adams, Ken via phone (662) 892-9236.

Contact Information

Primary practice address
9200 Pigeon Roost Rd Olive Branch MS 38654-2421
Fax: (662) 892-9221
Website:
Authorized official contact:
Name: Adams, Ken

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Ambulance 341600000X 105 Mississippi
Transportation Services / Land Transport 3416L0300X

Profile Details

NPI number 1245218742
LBN Legal business name City Of Olive Branch
DBA Doing business as Olive Branch Fire Dept. Ambulance
Authorized official Adams, Ken
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2006
Last updated Jun 5th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245218742 NPPES
Mississippi Other 000016581 BLUE CROSS BLUE SHIELD
Mississippi MEDICAID 4581042 BLUE CROSS BLUE SHIELD
Mississippi MEDICAID 00050725 BLUE CROSS BLUE SHIELD

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