Organization Name: | RUSTON LINCOLN AMBULANCE |
NPI Number: | 1114007663 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES T TORNABENE (CHIEF) |
Mailing Address: | 920 E Georgia Ave Ruston |
State: | LA US |
Postal Code: | 712703937 |
Phone Number: | 3182518628 |
Fax Number: | 3187479994 |
NPI Enumeration Date: | 10/17/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 9110052 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |