Organization
BOSSIER PARISH E M S
Active
Organization
BOSSIER PARISH E M S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUXIE SCOTT SR. (DIRECTOR OF EMS)
(318) 741-9201
Entity
Organization
Contact information
Practice address
5275 SWAN LAKE RD, BOSSIER CITY, LA 71111-6413
(318) 741-9201
(318) 741-9204
Mailing address
PO BOX 1002, BENTON, LA 71006-1002
(318) 741-9201
(318) 741-9204
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
9110009
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1917656
—
LA
01
—
46002
BLUE CROSS BLUE SHIELD LA
LA
Enumeration date
10/17/2006
Last updated
06/16/2010
Update your record
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