Jackson Parish Ambulance Service District in Jonesboro - Land Transport
Jackson Parish Ambulance Service District - NPI 1124021092
Jackson Parish Ambulance Service District is a Land Transport in Jonesboro, Louisiana. Jackson Parish Ambulance Service District practices all healthcare services and medical treatments related to Land Transport. The NPI Number for Jackson Parish Ambulance Service District is 1124021092. The last update date is 2010-08-30.
Jackson Parish Ambulance Service District's current location address is 115 Watts St, Jonesboro, Louisiana. You can contact this provider via phone number 3182592891 and fax number 3182592099. The mailing address for Jackson Parish Ambulance Service District is 115 Watts St, Jonesboro, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Parish Ambulance Service District |
|---|---|
| Address | 115 Watts St, Jonesboro, Louisiana |
| Phone Number | 3182592891 |
| Fax Number | 3182592099 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EMS DIRECT |
|---|---|
| Authorized Official Name | Wold Brandon Tracy |
| Credentials | BS EMT-P |
| Telephone Number | 3182592877 |
NPI Number Detail
| NPI Number | 1124021092 |
|---|---|
| Provider Enumeration Date | 2005-05-24 |
| Last Updated Date | 2010-08-30 |
Provider Mailing Address Detail
| Address | 115 Watts St |
|---|---|
| City | Jonesboro |
| State | Louisiana (LA) |
| Post Code | 7125120530 |
| Phone Number | 3182592891 |
| Fax Number | 3182592099 |
Provider's Primary Taxonomy Detail
| Speciality | Land Transport |
|---|---|
| Taxonomy | 3416L0300X |
| Licence No | 9110021 |
|
Definition: Provides emergency patient transportation by ground using specialized vehicles equipped with medical equipment and staffed by medical personnel. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| F4632 | LA | BLUE CROSS BLUE SHIELD | |
| 1550426 | LA | -- | |
| P00634556 | LA | RAILROAD MEDICARE (PALMETTO GB |
Post Comment/ Review Below
What is the Jackson Parish Ambulance Service District's unique identification number?
The Jackson Parish Ambulance Service District has been assigned the NPI (National Provider Identifier) Number 1124021092 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jackson Parish Ambulance Service District's physical address?
The Jackson Parish Ambulance Service District is physically located at 115 Watts St, in the city of Jonesboro, LA, with the postal code 7125120530.
What is the Jackson Parish Ambulance Service District's area of specialization and corresponding taxonomy classification?
The Jackson Parish Ambulance Service District's specialty field is Land Transport, and it falls under the taxonomy code 3416L0300X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1124021092 to Jackson Parish Ambulance Service District?
The Centers for Medicare & Medicaid Services assigned the 1124021092 to Jackson Parish Ambulance Service District on 2005-05-24.
When was the information regarding Jackson Parish Ambulance Service District, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jackson Parish Ambulance Service District, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-08-30.
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