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ST TAMMANY FIRE PROTECTION DISTRICT 11 NPI 1578617593


NPI Information

NPI: 1578617593
Provider Name: ST TAMMANY FIRE PROTECTION DISTRICT 11
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 19D1064056

Address:
64279 HWY 3081
PEARL RIVER, LA
ZIP 70452
Phone: (985) 863-3132
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ST TAMMANY FIRE PROTECTION DISTRICT 11 is a land transport ambulance in Pearl River, LA. ST TAMMANY FIRE PROTECTION DISTRICT 11 NPI is 1578617593. The provider is registered as an organization entity type.

The provider's business location address is:

64279 HWY 3081
PEARL RIVER, LA
ZIP 70452
Phone: (985) 863-3132
Fax: (985) 863-1834

The provider's authorized official is Pamela Little .
The authorized official title is Director Of Ems and has the following contact phone number (985) 863-3132.

The CLIA number assigned to this NPI record is 19D1064056 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 7/10/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416L0300XAmbulanceLand TransportPENDINGLOUISIANANo
23416L0300XAmbulanceLand Transport9110094LOUISIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11110779MEDICAIDLOUISIANA
2PTAN#47143MEDICARE UPINLOUISIANA

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

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