Med Life Emer Med SVCS Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

MED LIFE EMER MED SVCS INC

Practice address

1917 E Madison Ave
Bastrop, LA 71220-4069

Phone

(318) 281-5433

Fax

(318) 281-5431

NPI assigned

Nov 22, 2005

Last updated

Sep 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ted J Parker

Title

Pres Ceo

Phone

(318) 281-5433

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1306829395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 E MADISON AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204069",
            "telephone_number": "318-281-5433",
            "fax_number": "318-281-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 E MADISON AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204069",
            "telephone_number": "318-281-5433",
            "fax_number": "318-281-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED LIFE EMER MED SVCS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRES CEO",
        "authorized_official_telephone_number": "318-281-5433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1996220",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stewart Grant McKnight, PHARMD
• Crystal M McKoin, SPEECH
• Rita Lynn McMaster, LPC
• Meghan L. McNease, O.D., LLC
• Jo Ann Stanley Meche, NP
• Medic Pharmacy of Bastrop
• Meghan L. McNease, OD, LLC
• Melanie D Godfrey DC LLC
• Mary Melton, LMSW
• Gabriel L Meredith

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.