Caddo Parish Fire District #5

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CADDO PARISH FIRE DISTRICT #5

Practice address

1675 Leonard Rd
Shreveport, LA 71115-8583

Phone

(318) 797-4111

NPI assigned

Jul 25, 2008

Organization subpart

No

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

Authorized official

Name

Grayson S Boucher

Title

Fire Chief

Phone

(318) 797-4111

Specialties & licenses 1

Addresses

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": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1235394693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52985",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711352985",
            "telephone_number": "318-797-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 LEONARD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711158583",
            "telephone_number": "318-797-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADDO PARISH FIRE DISTRICT #5",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "BOUCHER",
        "authorized_official_first_name": "GRAYSON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "318-797-4111"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C&C Sitting Agency LLC
• Caddo Behavioral Health Services (CBH)
• Caddo Council on Aging, Inc.
• Caddo Fire District No 1
• Caddo Medical Transportation Incorporated
• Caddo Parish School Board
• Caddo Parish School Board
• Caddo Parish Sheriff's Office
• Caddo Parsh Commission
• Mary Jane Cady, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.