NPIMap

Organization Active NPI

Malicorp Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Tallulah, LA
National Provider Identifier
1265764575
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MALICORP TRANSPORT LLC
Practice address
722 Johnson St
Tallulah, LA 71282-4533
Phone
(318) 574-2229
Fax
(318) 574-2219
NPI assigned
Feb 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Authorized official

Name
Mrs. Mary Alice Fuselier
Title
C.E.O.
Phone
(318) 574-2229

Specialties & licenses 1

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

Addresses

Primary practice location

722 Johnson St
Tallulah, LA 71282-4533

Mailing address

PO Box 62150
Lafayette, LA 70596-2150
Phone (337) 993-2005

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1265764575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62150",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705962150",
            "telephone_number": "337-993-2005",
            "fax_number": "337-993-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 JOHNSON ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712824533",
            "telephone_number": "318-574-2229",
            "fax_number": "318-574-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALICORP TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "FUSELIER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "318-574-2229",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallulah, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.