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SOUTHEAST MS AIR AMBULANCE DISTRICT
NPI 1861509895
Ambulance - Air Transport in Hattiesburg, MS

Active since August 24, 2006CLIA 25D0696177 · Waiver
207 S 28TH AVE, HATTIESBURG, MS 39401(601) 264-0175(601) 264-0534 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Southeast Ms Air Ambulance District NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST MS AIR AMBULANCE DISTRICT (NPI 1861509895) is a healthcare organization registered as an air transport in Hattiesburg, Mississippi and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Richard Sewell, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1861509895
Entity TypeOrganization
Primary Taxonomy3416A0800X
Legal Business NameSOUTHEAST MS AIR AMBULANCE DISTRICT
Location Address207 S 28TH AVEHattiesburg, MS 39401-7155
Mailing Address207 S 28th AveHattiesburg, MS 39401-7155 · (601) 264-0175 · Fax (601) 264-0534
Phone(601) 264-0175
Fax(601) 264-0534
Organization SubpartNo
Authorized OfficialRichard SewellBusiness Office Manager · (601) 264-3581
Enumeration DateAugust 24, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1861509895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Air TransportTransportation Services
Taxonomy Code3416A0800X
License✔ Licensed in MS · 119-ALS PARAMEDIC
207 S 28TH AVE, Hattiesburg, MS 39401
Open in Google Maps ↗

Other Identifiers 1

Medicaid00050445MS

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D0696177

Southeast Mississippi Air Ambulance · Hattiesburg, MS
Active · expires Aug 31, 2026
CLIA Number25D0696177
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorWade N. Spruill Jr
Laboratory Phone(601) 264-0175
Laboratory LocationSoutheast Mississippi Air AmbulanceP O Box 17889, Hattiesburg, MS 39404
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is SOUTHEAST MS AIR AMBULANCE DISTRICT's NPI number?

The NPI number assigned to this healthcare provider is 1861509895, enumerated as an "organization" on August 24, 2006.

Where is the provider located?

The provider is located at 207 S 28TH AVE HATTIESBURG, MS 39401 and the phone number is (601) 264-0175.

What is the provider's specialty?

Ambulance with taxonomy code 3416A0800X and a focus in Air Transport.

What insurance does SOUTHEAST MS AIR AMBULANCE DISTRICT accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.