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Organization

CITY OF DERIDDER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RON ROBERTS (MAYOR)
(337) 462-8900
Entity
Organization

Contact information

Practice address
200 S JEFFERSON ST, DERIDDER, LA 70634-5089
(337) 462-8900
(337) 462-8908
Mailing address
200 S JEFFERSON ST, DERIDDER, LA 70634-5089
(337) 462-8900
(337) 462-8908

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
2179764
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2179764
LA
Enumeration date
06/11/2012
Last updated
06/11/2012
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