Organization 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
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210322000474 LA Part B Supplier - Ambulance Service Supplier 7810304748 Practice locations: Ringgold, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2186516Bienville Fire Protection District 4 and 51721 Military Road, Ringgold, LA 71068Certificate of waiverJun 17, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.