Healthcare Provider Details

I. General information

NPI: 1568391431
Provider Name (Legal Business Name): COREPATH MEDICAL TRANSPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8545 HIGHWAY 71 S
LECOMPTE LA
71346-4771
US

IV. Provider business mailing address

PO BOX 181
LECOMPTE LA
71346-0181
US

V. Phone/Fax

Practice location:
  • Phone: 346-772-9948
  • Fax:
Mailing address:
  • Phone: 346-772-9948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: JULIANE KIRK
Title or Position: OWNER
Credential:
Phone: 346-772-9948