NPI 1215033865

City of Southaven

Organisation Land Ambulance Southaven, MS

Practice location

Address: 8710 Northwest Dr, Southaven, MS 38671-2410
Phone: (662) 393-7466
Fax: (662) 393-7294

Authorised official

Name: Leroy Bledsoe
Title: Fire Chief
Phone: (662) 280-2489

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 128 (MS)

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Registry record

NPI: 1215033865
Entity type: Organization
NPI issued: 14 Sep 2006
Record last updated: 1 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.