NPIMap

Organization Active NPI

The Arc - Iberville

  • Non-emergency Medical Transport (VAN)
  • Plaquemine, LA
National Provider Identifier
1215058565
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
2424 Issued in LA
Legal business name
THE ARC - IBERVILLE
Practice address
24615 J. Gerald Berret Blvd
Plaquemine, LA 70764
Phone
(225) 687-4062
Fax
(225) 687-3272
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Authorized official

Name
Dr. Elizabeth M. Fussell, ED.D.
Title
Executive Director
Phone
(225) 687-6042

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 2271 LA
Non-emergency Medical Transport (VAN) 343900000X 2424 LA Primary

Addresses

Primary practice location

24615 J. Gerald Berret Blvd
Plaquemine, LA 70764

Mailing address

PO Box 264
24615 J. Gerald Berret Blvd
Plaquemine, LA 70765-0264
Phone (225) 687-4062

Other identifiers 1

IdentifierTypeStateIssuer
1911704MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
The Arc - Iberville6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1215058565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 264",
            "address_2": "24615 J. GERALD BERRET BLVD",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707650264",
            "telephone_number": "225-687-4062",
            "fax_number": "225-687-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24615 J. GERALD BERRET BLVD",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "70764",
            "telephone_number": "225-687-4062",
            "fax_number": "225-687-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC - IBERVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "FUSSELL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "225-687-6042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": "2271",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": "2424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1911704",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plaquemine, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.