NPIMap

Organization Active NPI

St Tammany Fire District #1

  • Land Ambulance
  • Slidell, LA
National Provider Identifier
1609045293
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
ST TAMMANY FIRE DISTRICT #1
Practice address
1358 Corporate Square Dr
Slidell, LA 70458-3153
Phone
(985) 649-3665
NPI assigned
Feb 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Mr. Russell Trice Shoultz, RN NREMT-P
Title
EMS Coordinator
Phone
(985) 646-4861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1358 Corporate Square Dr
Slidell, LA 70458-3153

Mailing address

34780 S Range Rd
Slidell, LA 70460-6833
Phone (985) 646-4861

National Provider Directory

National Provider Directory

Locations

1358 Corporate Square Dr
Slidell, LA 70458
Phone (985) 649-3665

34780 S Range Rd
Slidell, LA 70460

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1609045293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34780 S RANGE RD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704606833",
            "telephone_number": "985-646-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1358 CORPORATE SQUARE DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583153",
            "telephone_number": "985-649-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST TAMMANY FIRE DISTRICT #1",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "SHOULTZ",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "TRICE",
        "authorized_official_title_or_position": "EMS COORDINATOR",
        "authorized_official_telephone_number": "985-646-4861",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN NREMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.