Organization
CENTRAL MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK WILLIAMS JR. (SOLE PROPRIETOR)
(318) 248-3253
Entity
Organization
Contact information
Practice address
183 SARTOR RD, MANGHAM, LA 71259-5208
(318) 248-3253
Mailing address
183 SARTOR RD, MANGHAM, LA 71259-5208
(318) 248-3253
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1964361
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1964361
PROVIDER NUMBER
LA
01
—
42
PARISH CODE
LA
01
—
4501922
SUMBITTER NUMBER
LA
Enumeration date
02/27/2008
Last updated
02/27/2008
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