JACKSON PARISH AMBULANCE SERVICE DISTRICT NPI 1124021092

NPI Information

  • NPI: 1124021092
  • Provider Name: JACKSON PARISH AMBULANCE SERVICE DISTRICT
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • CLIA Number: 19D2084602
  • Address: 115 WATTS ST
    JONESBORO, LA
    ZIP 71251
  • Phone: (318) 259-2891

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NPI Details

JACKSON PARISH AMBULANCE SERVICE DISTRICT is a land transport ambulance in Jonesboro, LA. JACKSON PARISH AMBULANCE SERVICE DISTRICT NPI is 1124021092. The provider is registered as an organization entity type.

The provider's business location address is:

115 WATTS ST
JONESBORO, LA
ZIP 71251-053
Phone: (318) 259-2891
Fax: (318) 259-2099

The provider's authorized official is Tracy Brandon Wold .
The authorized official title is Ems Director and has the following contact phone number (318) 259-2877.

The CLIA number assigned to this NPI record is 19D2084602 - ambulance with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ground mileage, per statute mile (HCPCS:A0425)
  • Ambulance service, basic life support, non-emergency transport, (bls) (HCPCS:A0428)
  • Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)
  • Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)
  • Advanced life support, level 2 (als 2) (HCPCS:A0433)

The enumeration date for this NPI number is 5/24/2005 and was last updated on 8/30/2010.

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
13416L0300XAmbulanceLand Transport9110021LOUISIANAYes

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
147145MEDICARE PIN
2F4632OTHERLOUISIANABLUE CROSS BLUE SHIELD
3P00634556OTHERLOUISIANARAILROAD MEDICARE (PALMETTO GBA)
41550426MEDICAIDLOUISIANA

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: 11/21/2025

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