Active NPI
Bienville Parish Ward 4 & 5 Fire Protection District
Doing business as Bienville Parish Ward 4 & 5 Fire Protection
- Land Ambulance
- Ringgold, LA
National Provider Identifier
1851980973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- BIENVILLE PARISH WARD 4 & 5 FIRE PROTECTION DISTRICT
- Doing business as
- Bienville Parish Ward 4 & 5 Fire Protection
- Practice address
- 1721 Military Rd
Ringgold, LA 71068-2587 - Phone
- (318) 894-9120
- Fax
- (318) 894-9122
- NPI assigned
- Jan 13, 2021
- Last updated
- Mar 24, 2021
- 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
- Mr. Bobby L Conly
- Title
- Fire Chief
- Phone
- (318) 422-2144
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
1721 Military Rd
Ringgold, LA 71068-2587
Mailing address
PO Box 868
Ringgold, LA 71068-0868
Phone (318) 894-9120
Other names 1
- Bienville Parish Ward 4 & 5 Fire Protection
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210322000474 | LA | Part B Supplier - Ambulance Service Supplier | 7810304748 | Practice locations: Ringgold, LA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2186516 | Bienville Fire Protection District 4 and 5 | Certificate of waiver | Jun 17, 2028 |
National Provider Directory
National Provider DirectoryLocations
1721 Military Rd
Ringgold, LA 71068
Phone (318) 422-2144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616544000000",
"number": "1851980973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 868",
"city": "RINGGOLD",
"state": "LA",
"postal_code": "710680868",
"telephone_number": "318-894-9120",
"fax_number": "318-894-9122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 MILITARY RD",
"city": "RINGGOLD",
"state": "LA",
"postal_code": "710682587",
"telephone_number": "318-894-9120",
"fax_number": "318-894-9122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIENVILLE PARISH WARD 4 & 5 FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-13",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A",
"authorized_official_last_name": "CONLY",
"authorized_official_first_name": "BOBBY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "318-422-2144",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bienville Parish Ward 4 & 5 Fire Protection",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bienville Parish Ward 4 & 5 Fire Protection",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ringgold, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.