# MED LIFE EMER MED SVCS INC

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

## Provider details

- **NPI number:** 1306829395
- **Authorized official:** MR. TED J PARKER (PRES CEO)
- **Authorized official phone:** (318) 281-5433

## Contact information

- **Practice address:** 1917 E MADISON AVE, BASTROP, LA 71220-4069
- **Practice address phone:** (318) 281-5433
- **Practice address fax:** (318) 281-5431
- **Mailing address:** 1917 E MADISON AVE, BASTROP, LA 71220-4069
- **Mailing address phone:** (318) 281-5433
- **Mailing address fax:** (318) 281-5431

## Taxonomy

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

## Other

- **Enumeration date:** 11/22/2005
- **Last updated:** 09/28/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1996220 | — | LA |