Healthcare Provider Details

I. General information

NPI: 1205884541
Provider Name (Legal Business Name): CAMERON PARISH EMS DIST 2
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 03/24/2022
Certification Date: 03/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

979 MAIN ST
HACKBERRY LA
70645-3401
US

IV. Provider business mailing address

PO BOX 310
HACKBERRY LA
70645-0310
US

V. Phone/Fax

Practice location:
  • Phone: 337-762-3711
  • Fax: 337-762-3891
Mailing address:
  • Phone: 337-762-3711
  • Fax: 337-762-3891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number3293735001
License Number StateLA

VIII. Authorized Official

Name: RHONDA COLEMAN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 337-762-3711