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C&M MEDICAL SERVICES-ST ELIZABETH LLC NPI 1639474257


NPI Information

NPI: 1639474257
Provider Name: C&M MEDICAL SERVICES-ST ELIZABETH LLC
Classification: Emergency Medicine - 207PE0004X
Entity Type: Organization

Specialization: Emergency Medical Services

Address:
1125 WEST LOUISIANA HIGHWAY 30
GONZALES, LA
ZIP 70737
Phone: (225) 647-5000
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C&M MEDICAL SERVICES-ST ELIZABETH LLC is an emergency medical services emergency medicine in Gonzales, LA. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. C&M MEDICAL SERVICES-ST ELIZABETH LLC NPI is 1639474257. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1125 WEST LOUISIANA HIGHWAY 30
GONZALES, LA
ZIP 70737
Phone: (225) 647-5000
Fax: (225) 647-6066

The provider's authorized official is Cris Mandry .
The authorized official title is President and has the following contact phone number (504) 833-7770.

The enumeration date for this NPI number is 1/12/2011 and was last updated on 1/9/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207PE0004XEmergency MedicineEmergency Medical Services017058LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1J3181OTHERLOUISIANABC/BS OF LA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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