Organization
ALLEN PARISH AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK DAMIAN LYONS (DIRECTOR)
(337) 738-2674
Entity
Organization
Contact information
Practice address
215 N 9TH ST, KINDER, LA 70648-3632
(337) 738-2674
(337) 738-3027
Mailing address
PO BOX 1319, KINDER, LA 70648-1319
(337) 738-2674
(337) 738-3027
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
9110004
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1309591
—
LA
01
—
36062
BLUE CROSS
LA
Enumeration date
06/13/2005
Last updated
08/22/2020
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