Provider Demographics
NPI:1093370322
Name:FLAGG MEDI- TRANSPORT SERVICES LLC
Entity Type:Organization
Organization Name:FLAGG MEDI- TRANSPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AUDREYA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLAGG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-623-5477
Mailing Address - Street 1:PO BOX 114
Mailing Address - Street 2:
Mailing Address - City:LECOMPTE
Mailing Address - State:LA
Mailing Address - Zip Code:71346-0114
Mailing Address - Country:US
Mailing Address - Phone:318-406-3038
Mailing Address - Fax:318-406-3020
Practice Address - Street 1:2305 ST. CHARLES ST
Practice Address - Street 2:
Practice Address - City:LECOMPTE
Practice Address - State:LA
Practice Address - Zip Code:71346-0114
Practice Address - Country:US
Practice Address - Phone:318-406-3038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-02
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)