# NORTH LOUISIANA MEDICAL TRANSPORT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184481426
- **Authorized official:** CALISHA FORTNER (PRINCIPLE)
- **Authorized official phone:** (318) 379-4244

## Contact information

- **Practice address:** 350 DESIARD PLAZA DR, MONROE, LA 71203-4922
- **Practice address phone:** (318) 379-4244
- **Mailing address:** 350 DESIARD PLAZA DR, MONROE, LA 71203-4922
- **Mailing address phone:** (318) 379-4244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 342000000X | Transportation Network Company | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 03/04/2024
- **Last updated:** 03/22/2024