Active NPI
Caddo Fire District No 1
- Land Ambulance
- Shreveport, LA
National Provider Identifier
1972657799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 9110084
- Legal business name
- CADDO FIRE DISTRICT NO 1
- Practice address
- 7058 Old Mooringsport Rd
Shreveport, LA 71107-9231 - Phone
- (318) 929-3575
- Fax
- (318) 929-2345
- NPI assigned
- Jan 22, 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
- Mr. Dan Cotten
- Title
- Fire Chief
- Phone
- (318) 929-3575
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 9110084 | LA | Primary |
Addresses
Primary practice location
7058 Old Mooringsport Rd
Shreveport, LA 71107-9231
Mailing address
7058 Old Mooringsport Rd
Shreveport, LA 71107-9231
Phone (318) 929-3575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1471585 | 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 |
|---|---|---|---|---|
| O20040901000108 | LA | Part B Supplier - Ambulance Service Supplier | 4880669944 | Practice locations: Shreveport, LA |
National Provider Directory
National Provider DirectoryLocations
7058 Old Mooringsport Rd
Shreveport, LA 71107
Phone (318) 929-2345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972657799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7058 OLD MOORINGSPORT RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711079231",
"telephone_number": "318-929-3575",
"fax_number": "318-929-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7058 OLD MOORINGSPORT RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711079231",
"telephone_number": "318-929-3575",
"fax_number": "318-929-2345"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CADDO FIRE DISTRICT NO 1",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COTTEN",
"authorized_official_first_name": "DAN",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "318-929-3575",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "LA",
"license": "9110084",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1471585",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
- C. H. Wilkinson Physician Network (Christus Medical Group Ashley Ridge)
- C.M. Lester DDS a Professional Dental Corp
- C&C Sitting Agency LLC
- Caddo Behavioral Health Services (CBH)
- Caddo Council on Aging, Inc.
- Caddo Medical Transportation Incorporated
- Caddo Parish Fire District #5
- Caddo Parish School Board
- Caddo Parish School Board
- Caddo Parish Sheriff's Office
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.