Advanced Emergency Medical Services Inc.
Organization Active NPI Ambulance · Minden, LA
NPI 1407906563 · NPPES record last updated Nov 20, 2017
Key facts
- NPI
- 1407906563
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 9110071 (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
- Organization subpart
- No
Authorized official
- Name
- Gary Jones
- Title
- Owner
- Phone
- (318) 382-0380
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100121000222 | LA | Part B Supplier - Ambulance Service Supplier | 6800938366 | Practice locations: Columbia, LA; Minden, LA; Sarepta, LA; Winnfield, LA |
National Provider Directory
Locations
614 Weston St
Minden, LA 71055
Phone (318) 377-5148
900 Shreveport Rd
Minden, LA 71055
Phone (318) 382-0380
108 Machen Sq
Winnfield, LA 71483
Phone (318) 382-4196
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 9110071 | LA | Yes |
Addresses
Primary practice location
900 Shreveport Rd
Minden, LA 71055-3832
Mailing address
900 Shreveport Rd
Minden, LA 71055-3832
Phone (318) 382-0380
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1566691 | Medicaid | LA |
Other providers in Minden, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.