Healthcare Provider Details
I. General information
NPI: 1922933837
Provider Name (Legal Business Name): BAYOULINK MEDICAL TRANSPORTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1113 LEE ST
PATTERSON LA
70392-4529
US
IV. Provider business mailing address
PO BOX 2503
PATTERSON LA
70392-2503
US
V. Phone/Fax
- Phone: 985-992-5954
- Fax:
- Phone: 985-992-5954
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VANESSA
LYNN
WILLOUGHBY
Title or Position: MANAGING MEMBER
Credential: RN
Phone: 985-992-5954