Provider Demographics
NPI:1487699872
Name:RURAL METRO MID-SOUTH LP
Entity type:Organization
Organization Name:RURAL METRO MID-SOUTH LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP OF REVENUE MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-703-2294
Mailing Address - Street 1:6363 S FIDDLERS GREEN CIR FL 15
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-5011
Mailing Address - Country:US
Mailing Address - Phone:833-703-2294
Mailing Address - Fax:480-627-6128
Practice Address - Street 1:2823 S HOUSTON LEVEE RD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38139-6912
Practice Address - Country:US
Practice Address - Phone:901-457-2440
Practice Address - Fax:901-853-3285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
341600000X
TN99543416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN590014837OtherRAILROAD MEDICARE
TN3574278Medicaid
TN590014837OtherRAILROAD MEDICARE
TN3574278Medicaid
TN590014837OtherRAILROAD MEDICARE
MO1083776686OtherNPI FOR 414 N 5TH ST POPLAR BLUFF, MO 63901-5126