St Martin Council on Aging, Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

PCA2672 Issued in LA

Legal business name

ST MARTIN COUNCIL ON AGING, INC

Practice address

511 Wild Cherry LN
Breaux Bridge, LA 70517-6021

Phone

(337) 332-3063

Fax

(337) 332-1541

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Earline J Countee

Title

Director

Phone

(337) 332-3063

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477688869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 WILD CHERRY LN",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705176021",
            "telephone_number": "337-332-3063",
            "fax_number": "337-332-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 WILD CHERRY LN",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705176021",
            "telephone_number": "337-332-3063",
            "fax_number": "337-332-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARTIN COUNCIL ON AGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COUNTEE",
        "authorized_official_first_name": "EARLINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "337-332-3063",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": "PCA2672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04010099",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1611514",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Solet
• Taylor Sonnier
• Michael David Sontag, PA-C
• South Louisiana Addiction Treatment Services
• Southern Care Transport LLC
• St Martin Emergency Group LLC
• St Martin Hospital, Inc.
• St Martin Hospital, Inc.
• St Martin Hospital, Inc.
• St Martin Parish Government

• Non-emergency Medical Transport (VAN) in Breaux Bridge, LA
• Providers in Breaux Bridge, LA by specialty
• Non-emergency Medical Transport (VAN) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.