Balentine Ambulance Service Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

9110006 Issued in LA

Legal business name

BALENTINE AMBULANCE SERVICE INC.

Practice address

3516 Mansfield Rd
Shreveport, LA 71103-4400

Phone

(318) 222-5358

Fax

(318) 221-2340

NPI assigned

Jan 6, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela B McBeath

Title

President-Ceo

Phone

(318) 222-5358

Specialties & licenses 1

Addresses

Other identifiers 4

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": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1245218452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3922",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711333922",
            "telephone_number": "318-222-5358",
            "fax_number": "318-221-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 MANSFIELD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034400",
            "telephone_number": "318-222-5358",
            "fax_number": "318-221-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALENTINE AMBULANCE SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "MCBEATH",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT-CEO",
        "authorized_official_telephone_number": "318-222-5358",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "LA",
            "license": "9110006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133967715",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE SHIELD LA",
            "identifier": "38131",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "0004520555",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1368288",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Michael Balda, DO
• William Wiley Baldridge Jr., DDS
• Kathryn Baldwin
• Megan Baldwin, RDN, LDN
• William Baldwin
• Nemanja Baletic, MD, MS
• Betsy Emanuel Ball, MD
• Deandrea Mikayla Ball
• Repunda Mims Ball
• Sally S. Ball, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.