Healthcare Provider Details

I. General information

NPI: 1972170488
Provider Name (Legal Business Name): BUTLERS MEDICAL TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2021
Last Update Date: 06/04/2021
Certification Date: 05/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

939 JACKSON LANE
MELVILLE LA
71353
US

IV. Provider business mailing address

PO BOX 564
MELVILLE LA
71353-0564
US

V. Phone/Fax

Practice location:
  • Phone: 337-224-1817
  • Fax:
Mailing address:
  • Phone: 337-224-1817
  • 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: MRS. PAULINE STONER
Title or Position: OWNER
Credential:
Phone: 337-224-1817