Organization
NORTHEAST LA AMBULANCE SVC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL G ELDRIDGE DO (PRESIDENT)
(318) 435-8351
Entity
Organization
Contact information
Practice address
233 TAYLOR AVE, WINNSBORO, LA 71295
(318) 435-8351
(318) 435-8319
Mailing address
PO BOX 27, WINNSBORO, LA 71295
(318) 435-8351
(318) 435-8319
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
9110044
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1560782
—
LA
Enumeration date
06/10/2006
Last updated
08/22/2020
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