Provider Demographics
NPI:1063506947
Name:ACADIANA MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:ACADIANA MEDICAL TRANSPORTATION
Other - Org Name:ACADIANA MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:SARVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-235-8976
Mailing Address - Street 1:930 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70501-3902
Mailing Address - Country:US
Mailing Address - Phone:337-235-8976
Mailing Address - Fax:337-269-1845
Practice Address - Street 1:930 CENTER ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70501-3902
Practice Address - Country:US
Practice Address - Phone:337-235-8976
Practice Address - Fax:337-269-1845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1911721Medicaid
LA1911721Medicaid