Healthcare Provider Details

I. General information

NPI: 1003813254
Provider Name (Legal Business Name): GET WELL MEDICAL TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4326 ALGOA AVE
BAKER LA
70714-4620
US

IV. Provider business mailing address

4326 ALGOA AVE
BAKER LA
70714-4620
US

V. Phone/Fax

Practice location:
  • Phone: 225-778-6943
  • Fax: 225-778-6943
Mailing address:
  • Phone: 225-778-6943
  • Fax: 225-778-6943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number10-00542-614
License Number StateLA

VIII. Authorized Official

Name: MRS. TONIA MICHELLE LEWIS
Title or Position: OWNER / OPERATER
Credential:
Phone: 225-603-5370