Provider Demographics
NPI:1972616845
Name:GUARDIAN EMERGENCY MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:GUARDIAN EMERGENCY MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MGR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-818-1183
Mailing Address - Street 1:3501 HOLIDAY DR STE 104
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-8258
Mailing Address - Country:US
Mailing Address - Phone:504-818-1183
Mailing Address - Fax:866-397-4682
Practice Address - Street 1:3501 HOLIDAY DR STE 104
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-8258
Practice Address - Country:US
Practice Address - Phone:504-818-1183
Practice Address - Fax:866-397-4682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA91100343416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1463566Medicaid
LAG9274OtherBCBS
LA47138Medicare ID - Type Unspecified