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Organization
BALENTINE AMBULANCE SERVICE INC.
Active
Organization
BALENTINE AMBULANCE SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA B MCBEATH (PRESIDENT-CEO)
(318) 222-5358
Entity
Organization
Contact information
Practice address
3516 MANSFIELD RD, SHREVEPORT, LA 71103-4400
(318) 222-5358
(318) 221-2340
Mailing address
PO BOX 3922, SHREVEPORT, LA 71133-3922
(318) 222-5358
(318) 221-2340
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
9110006
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004520555
AETNA US HEALTHCARE
LA
05
—
133967715
—
AR
05
—
1368288
—
LA
01
—
38131
BLUE CROSS-BLUE SHIELD LA
LA
Enumeration date
01/06/2006
Last updated
10/07/2011
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