MRS. CHARLOTTE MARTIA BORDELON NPI 1528565942

NPI Information

NPI: 1528565942
Provider Name: MRS. CHARLOTTE MARTIA BORDELON
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Individual
Address:
1516 CLOVER DR
LAKE CHARLES, LA
ZIP 70607
Phone: (337) 215-2613
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MRS. Charlotte Martia Bordelon is a non emergency medical transport van in Lake Charles, 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. MRS. Charlotte Martia Bordelon NPI is 1528565942. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1516 CLOVER DR
LAKE CHARLES, LA
ZIP 70607-710
Phone: (337) 215-2613
Fax: (337) 990-5077

The enumeration date for this NPI number is 4/11/2018 and was last updated on 4/11/2018.

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
1	343900000X	Non-emergency Medical Transport (VAN)		006828053	LOUISIANA	Yes

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
1	82-4215302	MEDICAID	LOUISIANA

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: 4/28/2024

NPI Synchronization or Removal

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