East Carroll Ambulance Service
Organization Active NPI Land Ambulance · Lake Providence, LA
NPI 1003357591 · NPPES record last updated Mar 16, 2017
Key facts
- NPI
- 1003357591
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 9110017 (LA)
- Legal business name
- EAST CARROLL AMBULANCE SERVICE
- Practice address
- 505 Lake St
Lake Providence, LA 71254-2545 - Phone
- (318) 559-4029
- Fax
- (318) 559-0924
- NPI assigned
- Mar 16, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- EAST CARROLL PARISH HOSPITAL
Authorized official
- Name
- Ladonna Englerth
- Title
- Administrator
- Phone
- (318) 559-4029
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- East Carroll Medical CL
- Part of
- East Carroll Medical CL
Interoperability endpoints
- https://api.platform.athenahealth.com/11988/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 9110017 | LA | Yes |
Addresses
Primary practice location
505 Lake St
Lake Providence, LA 71254-2545
Mailing address
336 North Hood Street
Lake Providence, LA 71254-2545
Phone (318) 559-4029
Other providers in Lake Providence, LA
- Lakeisha Moniqe Curley
- Cypress at Lake Providence, LLC
- Delta Community Action Association, Inc.
- Delta Community Enhancement Program
- Gloria Dixon
- East Carroll Parish Hospital
- East Carroll Parish Hospital
- East Carroll Parish Hospital
- East Carroll Parish Hospital
- East Carroll Parish Hospital
All providers in Lake Providence, LA · Land Ambulance in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.