Provider Demographics
NPI:1821837535
Name:WEST BATON ROUGE PARISH FIRE PROTECTION DISTRICT NO 1
Entity type:Organization
Organization Name:WEST BATON ROUGE PARISH FIRE PROTECTION DISTRICT NO 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF EMS
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUSTZ
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:225-215-5300
Mailing Address - Street 1:PO BOX 757
Mailing Address - Street 2:
Mailing Address - City:PORT ALLEN
Mailing Address - State:LA
Mailing Address - Zip Code:70767-0757
Mailing Address - Country:US
Mailing Address - Phone:225-215-5302
Mailing Address - Fax:225-490-0049
Practice Address - Street 1:685 LOUISIANA AVE
Practice Address - Street 2:
Practice Address - City:PORT ALLEN
Practice Address - State:LA
Practice Address - Zip Code:70767-2144
Practice Address - Country:US
Practice Address - Phone:225-215-5302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-22
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2881221Medicaid