Organization Active NPI

Caddo Parish Fire District No. Six

  • Land Ambulance
  • Keithville, LA
National Provider Identifier
1508949686
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
09068 Issued in LA
Legal business name
CADDO PARISH FIRE DISTRICT NO. SIX
Practice address
11450 Old Mansfield Road
Keithville, LA 71047
Phone
(318) 925-8791
Fax
(318) 925-8799
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Mr. Damon Johnson
Title
Fire Chief
Phone
(318) 925-8791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 09068 LA Primary

Addresses

Primary practice location

11450 Old Mansfield Road
Keithville, LA 71047

Mailing address

PO Box 292
Keithville, LA 71047-0292
Phone (318) 925-8791

Other identifiers 1

IdentifierTypeStateIssuer
1409278MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070302000382 LA Part B Supplier - Ambulance Service Supplier 8527160951 Practice locations: Keithville, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D1054496Caddo Parish Fire District No Six11450 Old Mansfield Road, Keithville, LA 71047Certificate of waiverMay 22, 2028

National Provider Directory

National Provider Directory
Tax ID family
Caddo Parish Fire District No Six2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1508949686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292",
            "city": "KEITHVILLE",
            "state": "LA",
            "postal_code": "710470292",
            "telephone_number": "318-925-8791",
            "fax_number": "318-925-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11450 OLD MANSFIELD ROAD",
            "city": "KEITHVILLE",
            "state": "LA",
            "postal_code": "71047",
            "telephone_number": "318-925-8791",
            "fax_number": "318-925-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADDO PARISH FIRE DISTRICT NO. SIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "318-925-8791",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "LA",
            "license": "09068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1409278",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keithville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.