Organization
CITY OF BOSSIER CITY
Active
Organization
CITY OF BOSSIER CITY
Active
Other names
Bossier City Fire Department EMS
Organization subpart
No
Provider details
NPI number
Authorized official
FRED E WEAVER JR. FIRE CHIEF (FIRE CHIEF)
(318) 741-8708
Entity
Organization
Contact information
Practice address
620 BENTON RD, BOSSIER CITY, LA 71111-3703
(318) 741-8708
(318) 741-8739
Mailing address
PO BOX 5337, BOSSIER CITY, LA 71171-5337
(318) 741-8708
(318) 741-8739
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
9110008
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1374059
—
LA
01
—
79551
BLUE CROSS BLUE SHIELD LA
LA
Enumeration date
10/17/2006
Last updated
03/31/2010
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