# NORTHEAST LA AMBULANCE SVC LLC

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

## Provider details

- **NPI number:** 1912949652
- **Authorized official:** MR. JOEL G ELDRIDGE DO (PRESIDENT)
- **Authorized official phone:** (318) 435-8351

## Contact information

- **Practice address:** 233 TAYLOR AVE, WINNSBORO, LA 71295
- **Practice address phone:** (318) 435-8351
- **Practice address fax:** (318) 435-8319
- **Mailing address:** PO BOX 27, WINNSBORO, LA 71295
- **Mailing address phone:** (318) 435-8351
- **Mailing address fax:** (318) 435-8319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 9110044 | LA | Yes |

## Other

- **Enumeration date:** 06/10/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1560782 | — | LA |