# BALENTINE AMBULANCE SERVICE INC.

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

## Provider details

- **NPI number:** 1245218452
- **Authorized official:** MRS. PAMELA B MCBEATH (PRESIDENT-CEO)
- **Authorized official phone:** (318) 222-5358

## Contact information

- **Practice address:** 3516 MANSFIELD RD, SHREVEPORT, LA 71103-4400
- **Practice address phone:** (318) 222-5358
- **Practice address fax:** (318) 221-2340
- **Mailing address:** PO BOX 3922, SHREVEPORT, LA 71133-3922
- **Mailing address phone:** (318) 222-5358
- **Mailing address fax:** (318) 221-2340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 9110006 | LA | Yes |

## Other

- **Enumeration date:** 01/06/2006
- **Last updated:** 10/07/2011

## 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 |