Provider Demographics
NPI: | 1689835001 |
---|---|
Name: | CITY OF WESTWEGO |
Entity Type: | Organization |
Organization Name: | CITY OF WESTWEGO |
Other - Org Name: | WESTWEGO EMERGENCY MEDICAL SERVICES |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | EMS DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | THOMAS |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | CALAMARI |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 504-341-2525 |
Mailing Address - Street 1: | 677 AVENUE H |
Mailing Address - Street 2: | |
Mailing Address - City: | WESTWEGO |
Mailing Address - State: | LA |
Mailing Address - Zip Code: | 70094-4611 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 504-341-2525 |
Mailing Address - Fax: | 504-875-4439 |
Practice Address - Street 1: | 677 AVENUE H |
Practice Address - Street 2: | |
Practice Address - City: | WESTWEGO |
Practice Address - State: | LA |
Practice Address - Zip Code: | 70094-4611 |
Practice Address - Country: | US |
Practice Address - Phone: | 504-341-2525 |
Practice Address - Fax: | 504-875-4439 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2008-06-18 |
Last Update Date: | 2023-10-24 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
LA | 72600 | 3416L0300X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 3416L0300X | Transportation Services | Ambulance | Land Transport |