Provider Type Icon

ST MARTIN COUNCIL ON AGING INC NPI 1477688869


NPI Information

NPI: 1477688869
Provider Name: ST MARTIN COUNCIL ON AGING, INC
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization

CLIA Number: 19D0461104

Address:
511 WILD CHERRY LN
BREAUX BRIDGE, LA
ZIP 70517
Phone: (337) 332-3063
Get Directions

ST MARTIN COUNCIL ON AGING, INC is a non emergency medical transport van in Breaux Bridge, LA. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. ST MARTIN COUNCIL ON AGING, INC NPI is 1477688869. The provider is registered as an organization entity type.

The provider's business location address is:

511 WILD CHERRY LN
BREAUX BRIDGE, LA
ZIP 70517-021
Phone: (337) 332-3063
Fax: (337) 332-1541

The provider's authorized official is Earline J Countee .
The authorized official title is Director and has the following contact phone number (337) 332-3063.

The CLIA number assigned to this NPI record is 19D0461104 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 8/22/2020.


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
1343900000XNon-emergency Medical Transport (VAN)PCA2672LOUISIANAYes

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
104010099MEDICAIDLOUISIANA
21611514MEDICAIDLOUISIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.