Organization Name: | LAFOURCHE AMBULANCE DISTRICT NO. 1 |
NPI Number: | 1457358996 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORAH G. GAUTREAUX (ADMINISTRATOR) |
Mailing Address: | 17078 W Main St Cut Off |
State: | LA US |
Postal Code: | 703454102 |
Phone Number: | 9856327192 |
Fax Number: | 9856327198 |
NPI Enumeration Date: | 06/30/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 9110022 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |