MEDICARE: RURAL METRO MID-SOUTH LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance
2	3416L0300X	Land Ambulance	9954	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	590014837	OTHER	TN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487699872
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RURAL METRO MID-SOUTH LP

Provider Business Mailing Address
First Line	:	6363 S FIDDLERS GREEN CIR FL 15
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-5011
Country	:	US
Telephone Number	:	833-703-2294
Fax Number	:	480-627-6128

Provider Business Practice Location Address
First Line	:	2823 S HOUSTON LEVEE RD
Second Line	:
City	:	GERMANTOWN
State	:	TN
Zip	:	38139-6912
Country	:	US
Telephone Number	:	901-457-2440
Fax Number	:	901-853-3285

Authorized Official
Title or Position	:	SVP OF REVENUE MANAGEMENT
Name	:	ERIC THOMAS
Credential	:
Telephone Number	:	833-703-2294

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	11/22/2022

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Directions to “RURAL METRO MID-SOUTH LP ” Practice Location

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