Provider Demographics
NPI:1285630459
Name:ACADIAN AMBULANCE SERVICE OF NEW ORLEANS, LLC
Entity Type:Organization
Organization Name:ACADIAN AMBULANCE SERVICE OF NEW ORLEANS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER OF CONTRACTS
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:LEONARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-291-4039
Mailing Address - Street 1:PO BOX 92970
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70509-2970
Mailing Address - Country:US
Mailing Address - Phone:800-259-3333
Mailing Address - Fax:337-291-4252
Practice Address - Street 1:5749 SUSITNA DR STE B
Practice Address - Street 2:
Practice Address - City:HARAHAN
Practice Address - State:LA
Practice Address - Zip Code:70123-4136
Practice Address - Country:US
Practice Address - Phone:800-259-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-22
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9110083341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1196878Medicaid
MS08137228Medicaid
LA=========0OtherBLUE CROSS
LA1196878Medicaid
LA47135Medicare ID - Type Unspecified