Toyokta Wewoka Bluffton
Individual provider Active NPI Non-emergency Medical Transport (VAN) · Mansfield, LA
NPI 1619642014 · NPPES record last updated Aug 9, 2021
Key facts
- NPI
- 1619642014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- License
- 621AGK (LA)
- Practice address
- 1309 Sample St
Mansfield, LA 71052-2831 - Phone
- (318) 461-2535
- NPI assigned
- Aug 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 621AGK | LA | MD | Non-emergency Medical Transport (VAN) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 621AGK | LA | Yes |
Addresses
Primary practice location
1309 Sample St
Mansfield, LA 71052-2831
Mailing address
1309 Sample St
Mansfield, LA 71052-2831
Phone (318) 461-2535
Other providers in Mansfield, LA
- Elichia Bennett
- Kreesha Bennett
- Bio-Medical Applications of Louisiana, LLC
- Tysha Black Noyes
- Walter B Blankenship
- Katrina Bogan
- Gabrielle Bradford
- Brookshire Grocery Company
- Antresiya Brown
- Lacresha Brown
All providers in Mansfield, LA · Non-emergency Medical Transport (VAN) in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.