Provider Demographics
NPI:1952022089
Name:SMS AMBULANCE SERVICE, LLC
Entity Type:Organization
Organization Name:SMS AMBULANCE SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-521-3576
Mailing Address - Street 1:2916 N UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70507-4039
Mailing Address - Country:US
Mailing Address - Phone:337-521-3576
Mailing Address - Fax:337-706-1899
Practice Address - Street 1:9201 STATE HWY 302
Practice Address - Street 2:
Practice Address - City:MENTONE
Practice Address - State:TX
Practice Address - Zip Code:79754
Practice Address - Country:US
Practice Address - Phone:337-521-3576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-07
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport