Med Express Ambulance Service
Organization Active NPI Land Ambulance · Melville, LA
NPI 1467459552 · NPPES record last updated Jun 29, 2022
Key facts
- NPI
- 1467459552
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 9110034 (LA)
- Legal business name
- MED EXPRESS AMBULANCE SERVICE
- Practice address
- 505 Church St
Melville, LA 71353 - Phone
- (337) 623-0056
- Fax
- (337) 623-4789
- NPI assigned
- Jul 5, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Stephanie Kennedy
- Title
- Accounts Receivables Specialist
- Phone
- (373) 623-0056
Other NPIs with the same Medicare PAC ID 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040922000770 | LA | Part B Supplier - Ambulance Service Supplier | 4284601469 | Practice locations: Melville, LA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 9110034 | LA | Yes |
Addresses
Primary practice location
505 Church St
Melville, LA 71353
Mailing address
PO Box 527
Melville, LA 71353-0527
Phone (337) 623-0056
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52978 | Other | LA | BLUECROSS BLUESHIELD # |
| 1951277 | Medicaid | LA | |
| N283602 | Other | LA | WELLCARE |
| 590009304 | Other | LA | RAILROAD MEDICARE |
Other providers in Melville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2022. 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.