Healthcare Provider Details

I. General information

NPI: 1083035703
Provider Name (Legal Business Name): ADAMS&SMITH NON EMERGERCY TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2013
Last Update Date: 12/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 STERLINGTON DR
MONROE LA
71203-2329
US

IV. Provider business mailing address

211 STERLINGTON DR
MONROE LA
71203-2329
US

V. Phone/Fax

Practice location:
  • Phone: 318-855-3109
  • Fax: 318-512-4769
Mailing address:
  • Phone: 318-855-3109
  • Fax: 318-512-4769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number1400009440
License Number StateLA

VIII. Authorized Official

Name: MRS. DEBORAH A. SMITH
Title or Position: OWNER
Credential:
Phone: 318-855-3109