Healthcare Provider Details

I. General information

NPI: 1477060044
Provider Name (Legal Business Name): HOARD MEDICAL TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2018
Last Update Date: 01/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2513 MARTIN DR
WINNSBORO LA
71295-3411
US

IV. Provider business mailing address

2513 MARTIN DR
WINNSBORO LA
71295-3411
US

V. Phone/Fax

Practice location:
  • Phone: 318-801-3128
  • Fax: 318-367-5124
Mailing address:
  • Phone: 318-801-3128
  • Fax: 318-367-5124

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: MR. DESI DESMOND HOARD
Title or Position: OWNER
Credential:
Phone: 318-801-3128