Active NPI
Caddo Parish Fire District #3
- Land Ambulance
- Greenwood, LA
National Provider Identifier
1801910666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 9110010
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C1153 | Other | LA | BCBS |
| 47084 | Other | LA | MEDICARE |
| 1955922 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100526000331 | LA | Part B Supplier - Ambulance Service Supplier | 0941339196 | Practice locations: Greenwood, LA |
National Provider Directory
National Provider DirectoryLocations
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.