MEDICARE: GUIDRY'S HEALTH TRANSPORTATION INC.

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	171WH0202X	Home Modifications Contractor

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

General Provider Information

NPI Number	:	1831381565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUIDRY'S HEALTH TRANSPORTATION INC.

Provider Business Mailing Address
First Line	:	2120 OAK PARK BLVD
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70601-7864
Country	:	US
Telephone Number	:	337-532-2275
Fax Number	:	337-474-2875

Provider Business Practice Location Address
First Line	:	2120 OAK PARK BLVD
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70601-7864
Country	:	US
Telephone Number	:	337-532-2275
Fax Number	:	337-474-2875

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MR. ANTHONY K. GUIDRY
Credential	:
Telephone Number	:	337-532-2275

Provider Enumeration Date	:	08/16/2007
Last Update Date	:	06/03/2008

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