Organization
CADDO PARISH FIRE DISTRICT #3
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA LEE NIEMI (EMS BILLING SUPERVISOR)
(888) 357-9977
Entity
Organization
Contact information
Practice address
9081 GREENWOOD RD, GREENWOOD, LA 71033
(318) 938-5290
Mailing address
PO BOX 26, GREENWOOD, LA 71033-0026
(888) 357-9977
(888) 747-9963
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
9110010
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1955922
—
LA
01
—
47084
MEDICARE
LA
01
—
C1153
BCBS
LA
Enumeration date
03/19/2007
Last updated
12/21/2009
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