Ruston Lincoln Ambulance

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

9110052 Issued in LA

Legal business name

RUSTON LINCOLN AMBULANCE

Practice address

920 E Georgia Ave
Ruston, LA 71270-3937

Phone

(318) 251-8628

Fax

(318) 747-9994

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

David Wells

Title

Director of EMS

Phone

(318) 251-8628

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1114007663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2069",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712732069",
            "telephone_number": "318-251-8607",
            "fax_number": "318-747-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E GEORGIA AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703937",
            "telephone_number": "318-251-8628",
            "fax_number": "318-747-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSTON LINCOLN AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR OF EMS",
        "authorized_official_telephone_number": "318-251-8628"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "LA",
            "license": "9110052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1122459",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD LA",
            "identifier": "13466",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruston Developmental Center
• Ruston Developmental Center
• Ruston Developmental Center
• Ruston Developmental Center
• Ruston Developmental Center
• Ruston Louisiana Hospital Company
• Ruston Louisiana Hospital Company LLC (Cancer Institute of Northern Louisiana Medical Center)
• Ruston Louisiana Hospital Company LLC (Northern Louisiana Medical Center)
• Ruston Louisiana Hospital Company LLC (Northern Louisiana Anesthesia Associates)
• Ruston Louisiana Hospital Company LLC (Northern Louisiana Medical Center)

• Land Ambulance in Ruston, LA
• Providers in Ruston, LA by specialty
• Land Ambulance in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.