Active NPI
Southern Care Transportation
- Non-emergency Medical Transport (VAN)
- Bogalusa, LA
National Provider Identifier
1639548712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- SOUTHERN CARE TRANSPORTATION
- Practice address
- 30126 Marcus Rd
Bogalusa, LA 70463-0776 - Phone
- (950) 590-2449
- Fax
- (985) 886-5544
- NPI assigned
- Sep 18, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Amel Butler, LBSW/ BBA
- Title
- President-Ceo
- Phone
- (985) 590-2449
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | LA | Primary |
Addresses
Primary practice location
30126 Marcus Rd
Bogalusa, LA 70463-0776
Mailing address
PO Box 776
Sun, LA 70463-0776
Phone (950) 590-2449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2191721 | Medicaid | LA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1639548712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776",
"city": "SUN",
"state": "LA",
"postal_code": "704630776",
"telephone_number": "950-590-2449",
"fax_number": "985-886-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30126 MARCUS RD",
"city": "BOGALUSA",
"state": "LA",
"postal_code": "704630776",
"telephone_number": "950-590-2449",
"fax_number": "985-886-5544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN CARE TRANSPORTATION",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-18",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "BUTLER",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "AMEL",
"authorized_official_title_or_position": "PRESIDENT-CEO",
"authorized_official_telephone_number": "985-590-2449",
"authorized_official_credential": "LBSW/ BBA"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2191721",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bogalusa, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.