Provider Demographics
NPI:1912123829
Name:CADDO PARISH FIRE DISTRICT NO. 4
Entity Type:Organization
Organization Name:CADDO PARISH FIRE DISTRICT NO. 4
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:DOWDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-357-9977
Mailing Address - Street 1:8240 COLQUITT RD
Mailing Address - Street 2:
Mailing Address - City:KEITHVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71047-7009
Mailing Address - Country:US
Mailing Address - Phone:318-925-2200
Mailing Address - Fax:318-925-8790
Practice Address - Street 1:8240 COLQUITT RD
Practice Address - Street 2:
Practice Address - City:KEITHVILLE
Practice Address - State:LA
Practice Address - Zip Code:71047-7009
Practice Address - Country:US
Practice Address - Phone:318-925-2200
Practice Address - Fax:318-925-8790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9110089341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1137227Medicaid
LA1137227Medicaid