Organization Active NPI

Advanced Emergency Medical Services Inc.

  • Ambulance
  • Minden, LA
National Provider Identifier
1407906563
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
9110071 Issued in LA
Legal business name
ADVANCED EMERGENCY MEDICAL SERVICES INC.
Practice address
900 Shreveport Rd
Minden, LA 71055-3832
Phone
(318) 382-0380
Fax
(318) 382-0383
NPI assigned
Jan 11, 2007
Last updated
Nov 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

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

Authorized official

Name
Gary Jones
Title
Owner
Phone
(318) 382-0380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 9110071 LA Primary

Addresses

Primary practice location

900 Shreveport Rd
Minden, LA 71055-3832

Mailing address

900 Shreveport Rd
Minden, LA 71055-3832
Phone (318) 382-0380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100121000222 LA Part B Supplier - Ambulance Service Supplier 6800938366 Practice locations: Columbia, LA; Minden, LA; Sarepta, LA; Winnfield, LA

National Provider Directory

National Provider Directory

Locations

900 Shreveport Rd
Minden, LA 71055
Phone (318) 382-0380

108 Machen Sq
Winnfield, LA 71483
Phone (318) 382-4196

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511136000000",
    "number": "1407906563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SHREVEPORT RD",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553832",
            "telephone_number": "318-382-0380",
            "fax_number": "318-382-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SHREVEPORT RD",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553832",
            "telephone_number": "318-382-0380",
            "fax_number": "318-382-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED EMERGENCY MEDICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2017-11-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-382-0380"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "LA",
            "license": "9110071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.