Provider Demographics
NPI:1477060044
Name:HOARD MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:HOARD MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DESI
Authorized Official - Middle Name:DESMOND
Authorized Official - Last Name:HOARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-801-3128
Mailing Address - Street 1:2513 MARTIN DR
Mailing Address - Street 2:
Mailing Address - City:WINNSBORO
Mailing Address - State:LA
Mailing Address - Zip Code:71295-3411
Mailing Address - Country:US
Mailing Address - Phone:318-801-3128
Mailing Address - Fax:318-367-5124
Practice Address - Street 1:2513 MARTIN DR
Practice Address - Street 2:
Practice Address - City:WINNSBORO
Practice Address - State:LA
Practice Address - Zip Code:71295-3411
Practice Address - Country:US
Practice Address - Phone:318-801-3128
Practice Address - Fax:318-367-5124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-04
Last Update Date:2018-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)