City of Gretna

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF GRETNA

Practice address

200 5TH St
Gretna, LA 70053-5422

Phone

(504) 363-1720

Fax

(888) 747-9963

NPI assigned

Apr 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ryan T Brown

Title

EMS Commander

Phone

(504) 363-1720

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• GRETNA POLICE DEPARTMENT-EMERGENCY MEDICAL Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1053373670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 5TH ST",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700535422",
            "telephone_number": "504-363-1720",
            "fax_number": "888-747-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 5TH ST",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700535422",
            "telephone_number": "504-363-1720",
            "fax_number": "888-747-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GRETNA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EMS COMMANDER",
        "authorized_official_telephone_number": "504-363-1720",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1337838",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE- UNSPECIFY",
            "identifier": "47406",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF LA",
            "identifier": "190040264Y ( 40264)",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRETNA POLICE DEPARTMENT-EMERGENCY MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GRETNA POLICE DEPARTMENT-EMERGENCY MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Children'S International, LLC
• Chiropractic Clinic of Gretna
• Ella Unkyong Choe, M.D.
• Kaila Shae Christman, PLPC
• Circle of Hope, LLC
• Daijona Clair
• Chela Clark
• Kayla Clark, CRNA
• Sydnee Clark
• Ryanne Clarke, CRNP

• All providers in Gretna, LA
• Land Ambulance in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.