Organization
LAFOURCHE AMBULANCE DISTRICT NO. 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH G. GAUTREAUX (ADMINISTRATOR)
(985) 632-7192
Entity
Organization
Contact information
Practice address
17078 W MAIN ST, CUT OFF, LA 70345-4102
(985) 632-7192
(985) 632-7198
Mailing address
17078 W MAIN ST, CUT OFF, LA 70345-4102
(985) 632-7192
(985) 632-7198
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
9110022
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1193925
—
LA
Enumeration date
06/30/2005
Last updated
08/22/2020
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