NPIMap

Organization Active NPI

City of Gonzales Fire Rescue Department

  • Ambulance
  • Gonzales, LA
National Provider Identifier
1598886939
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
9110088 Issued in LA
Legal business name
CITY OF GONZALES FIRE RESCUE DEPARTMENT
Practice address
724 West Orice Roth Rd.
Gonzales, LA 70737-4141
Phone
(225) 644-5307
Fax
(225) 644-2035
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Butch Browning
Title
Fire Chief
Phone
(225) 644-5307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 9110088 LA Primary

Addresses

Primary practice location

724 West Orice Roth Rd.
Gonzales, LA 70737-4141

Mailing address

120 S Irma Blvd
Gonzales, LA 70737-3604
Phone (225) 644-5307

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070611000169 LA Part B Supplier - Ambulance Service Supplier 2466550736 Practice locations: Gonzales, LA

National Provider Directory

National Provider Directory

Locations

724 W Orice Roth Rd
Gonzales, LA 70737
Phone (225) 644-5307

120 S Irma Blvd
Gonzales, LA 70737

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598886939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S IRMA BLVD",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707373604",
            "telephone_number": "225-644-5307",
            "fax_number": "225-644-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 WEST ORICE ROTH RD.",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374141",
            "telephone_number": "225-644-5307",
            "fax_number": "225-644-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GONZALES FIRE RESCUE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWNING",
        "authorized_official_first_name": "BUTCH",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "225-644-5307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "LA",
            "license": "9110088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.