| Organization Name: | AAA AMBULANCE SERVICE |
| NPI Number: | 1003829375 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LYDIA JETCOAT (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 1000 Broadway Drive Suite 46 Hattiesburg |
| State: | MS US |
| Postal Code: | 394017572 |
| Phone Number: | 6012642221 |
| Fax Number: | 6012550896 |
| NPI Enumeration Date: | 08/15/2006 |
| NPI Last Update Date: | 12/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 001-ALS-PARAMEDIC |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |