City of Bossier City

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

9110008 Issued in LA

Legal business name

CITY OF BOSSIER CITY

Doing business as

Bossier City Fire Department EMS

Practice address

620 Benton Rd
Bossier City, LA 71111-3703

Phone

(318) 741-8708

Fax

(318) 741-8739

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Fred E Weaver Jr., FIRE CHIEF

Title

Fire Chief

Phone

(318) 741-8708

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bossier City Fire Department EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1548340144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5337",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711715337",
            "telephone_number": "318-741-8708",
            "fax_number": "318-741-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BENTON RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113703",
            "telephone_number": "318-741-8708",
            "fax_number": "318-741-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BOSSIER CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "318-741-8708",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "FIRE CHIEF"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "LA",
            "license": "9110008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1374059",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD LA",
            "identifier": "79551",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bossier City Fire Department EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christus Trinity Clinic
• Gilbert Keith Christy, MD
• Julie Chun, M.D.
• Ashley Cilluffo
• Sam P Cimino, RPH
• Pamela Clapp, RNFA
• Camden Clark
• Kameraan Clark
• Lessonna Clark
• Sharon Clark

• Land Ambulance in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Land Ambulance in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.