MEDICARE: ACADIAN AMBULANCE SERVICE OF NEW ORLEANS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	9110083	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285630459
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACADIAN AMBULANCE SERVICE OF NEW ORLEANS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 92970
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70509-2970
Country	:	US
Telephone Number	:	800-259-3333
Fax Number	:	337-291-4252

Provider Business Practice Location Address
First Line	:	5749 SUSITNA DR STE B
Second Line	:
City	:	HARAHAN
State	:	LA
Zip	:	70123-4136
Country	:	US
Telephone Number	:	800-259-2222
Fax Number	:

Authorized Official
Title or Position	:	MANAGER OF CONTRACTS
Name	:	THOMAS LEONARDS
Credential	:
Telephone Number	:	337-291-4039

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	12/16/2020

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