Organization Active NPI

Caddo Parish Fire District #3

  • Land Ambulance
  • Greenwood, LA
National Provider Identifier
1801910666
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
9110010 Issued in LA
Legal business name
CADDO PARISH FIRE DISTRICT #3
Practice address
9081 Greenwood Rd
Greenwood, LA 71033
Phone
(318) 938-5290
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

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

Authorized official

Name
Sandra Lee Niemi
Title
EMS Billing Supervisor
Phone
(888) 357-9977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 9110010 LA Primary

Addresses

Primary practice location

9081 Greenwood Rd
Greenwood, LA 71033

Mailing address

PO Box 26
Greenwood, LA 71033-0026
Phone (888) 357-9977

Other identifiers 3

IdentifierTypeStateIssuer
C1153OtherLABCBS
47084OtherLAMEDICARE
1955922MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100526000331 LA Part B Supplier - Ambulance Service Supplier 0941339196 Practice locations: Greenwood, LA

National Provider Directory

National Provider Directory

Locations

9081 Greenwood Rd
Greenwood, LA 71033
Phone (318) 938-5290

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1801910666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "GREENWOOD",
            "state": "LA",
            "postal_code": "710330026",
            "telephone_number": "888-357-9977",
            "fax_number": "888-747-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9081 GREENWOOD RD",
            "city": "GREENWOOD",
            "state": "LA",
            "postal_code": "71033",
            "telephone_number": "318-938-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADDO PARISH FIRE DISTRICT #3",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "NIEMI",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EMS BILLING SUPERVISOR",
        "authorized_official_telephone_number": "888-357-9977"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "LA",
            "license": "9110010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "C1153",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "47084",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1955922",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.