OrganizationLauderdale County Ems District(Metro Ambulance Service)AmbulanceTransportation ServicesPractice Address502 17th Ave, Meridian, MS 39301-5226(601) 485-2958PECOS EnrollmentBased on the most recent information from CMS, provider Lauderdale County Ems District does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 2:50 PM.Profile DetailsProvider ID1396744926Provider TypeOrganizationFull NameLauderdale County Ems DistrictOther NameMetro Ambulance ServiceSubpartNoEnumeration Date7/15/2005Last Updated3/9/2017Contact InformationPractice LocationPractice Address502 17th Ave, Meridian, MS 39301-5226Phone(601) 485-2958Fax(601) 482-1316Mailing LocationMailing AddressPO Box 667, Meridian, MS 39302-0667Phone(601) 485-2958Fax(601) 482-1316Authorized OfficialNameIrby, Terry Joe (Office Manager)Phone(601) 485-2958Provider TaxonomiesCodeDescriptionLicenseCode341600000XPrimaryDescriptionAmbulanceTransportation ServicesLicense082-ALS-PARMEDICMississippiCode343900000XDescriptionNon-emergency Medical Transport (VAN)Transportation ServicesLicense082MississippiProvider IdentifiersIDDescriptionIssuerID0050884DescriptionMedicaidIssuerUnlistedMississippiID290041290DescriptionMedicaidIssuerUnlistedAlabama