Lower Cameron Ambulance District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

9110074 Issued in LA

Legal business name

LOWER CAMERON AMBULANCE DISTRICT

Practice address

137 Oliver Rd
Cameron, LA 70631

Phone

(337) 542-4926

Fax

(337) 542-4924

NPI assigned

Dec 8, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Byron Kent Broussard, NREMT-P

Title

Director

Phone

(337) 542-4926

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Cameron Parish Emergency Medical Services Other name

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1619952082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "CREOLE",
            "state": "LA",
            "postal_code": "70632",
            "telephone_number": "337-542-4926",
            "fax_number": "337-542-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 OLIVER RD",
            "city": "CAMERON",
            "state": "LA",
            "postal_code": "70631",
            "telephone_number": "337-542-4926",
            "fax_number": "337-542-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER CAMERON AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-08",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "337-542-4926",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NREMT-P"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "LA",
            "license": "9110074",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "LA",
            "license": "9110074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437328",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cameron Parish Emergency Medical Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.