Healthcare Provider Details

I. General information

NPI: 1689835001
Provider Name (Legal Business Name): CITY OF WESTWEGO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2008
Last Update Date: 10/24/2023
Certification Date: 10/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

677 AVENUE H
WESTWEGO LA
70094-4611
US

IV. Provider business mailing address

677 AVENUE H
WESTWEGO LA
70094-4611
US

V. Phone/Fax

Practice location:
  • Phone: 504-341-2525
  • Fax: 504-875-4439
Mailing address:
  • Phone: 504-341-2525
  • Fax: 504-875-4439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number72600
License Number StateLA

VIII. Authorized Official

Name: THOMAS CALAMARI
Title or Position: EMS DIRECTOR
Credential:
Phone: 504-341-2525