Provider Demographics
NPI:1306272448
Name:M & S AMBULETTE SERVICE LLC
Entity type:Organization
Organization Name:M & S AMBULETTE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES-BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-385-5429
Mailing Address - Street 1:525 BRENTWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:38930-6910
Mailing Address - Country:US
Mailing Address - Phone:662-385-5429
Mailing Address - Fax:
Practice Address - Street 1:525 BRENTWOOD AVE
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:MS
Practice Address - Zip Code:38930-6910
Practice Address - Country:US
Practice Address - Phone:662-385-5429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-20
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)