Provider Demographics
NPI:1689671604
Name:WEST CARROLL PARISH AMBULANCE SERVICE DISTRICT
Entity Type:Organization
Organization Name:WEST CARROLL PARISH AMBULANCE SERVICE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:P
Authorized Official - Last Name:SEAMANS
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:318-428-8979
Mailing Address - Street 1:PO BOX 684
Mailing Address - Street 2:
Mailing Address - City:OAK GROVE
Mailing Address - State:LA
Mailing Address - Zip Code:71263-0684
Mailing Address - Country:US
Mailing Address - Phone:318-428-8979
Mailing Address - Fax:318-428-7777
Practice Address - Street 1:710 SETTOON ST
Practice Address - Street 2:
Practice Address - City:OAK GROVE
Practice Address - State:LA
Practice Address - Zip Code:71263-9707
Practice Address - Country:US
Practice Address - Phone:318-428-8979
Practice Address - Fax:318-428-7777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA91100653416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1920932Medicaid
LA1920932Medicaid