Organization
PAFFORD EMERGENCY MEDICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY D CLARK (COMPLIANCE OFFICER)
(800) 451-8036
Entity
Organization
Contact information
Practice address
1300 COMMERCE ST, RUSTON, LA 71270-2924
(800) 451-8036
(870) 777-8479
Mailing address
PO BOX 1120, HOPE, AR 71802-1120
(800) 451-8036
(870) 777-8479
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558176
—
LA
05
—
176987715
—
AR
01
—
F3900
BCBS OF LOUISANA
LA
Enumeration date
09/22/2006
Last updated
11/29/2016
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