Promise Land Medical Transport LLC

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

PROMISE LAND MEDICAL TRANSPORT LLC

Doing business as

Promise land medical transport llc

Practice address

303 Sugar Trace LN
New Iberia, LA 70563-0736

Phone

(337) 557-0429

NPI assigned

Jan 10, 2024

Organization subpart

No

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

Authorized official

Name

Shawnderic Conner

Title

Owner

Phone

(337) 557-0429

Specialties & licenses 1

Addresses

Other names 1

• Promise land medical transport llc Doing business as

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1073384897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 SUGAR TRACE LN",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705630736",
            "telephone_number": "337-557-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 SUGAR TRACE LN",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705630736",
            "telephone_number": "337-557-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE LAND MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "SHAWNDERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-557-0429"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promise land medical transport llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Secured Medical Transport (VAN) in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Secured Medical Transport (VAN) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.