Healthcare Provider Details

I. General information

NPI: 1861237505
Provider Name (Legal Business Name): COMMUNITY ENRICHMENT MEDICAL TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2024
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 S 21ST ST
OAKDALE LA
71463-3028
US

IV. Provider business mailing address

PO BOX 360
OAKDALE LA
71463-0360
US

V. Phone/Fax

Practice location:
  • Phone: 800-413-7481
  • Fax:
Mailing address:
  • Phone: 800-413-7481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MONEE HOLMES
Title or Position: VICE PRESIDENT
Credential:
Phone: 800-413-7481