=====================================================
General NPI Number Information
=====================================================
NPI Number | 1710030291
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ST TAMMANY PARISH FIRE DIST 3
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/19/2007
-----------------------------------------------------
Last Update Date | 08/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 27690 MAIN STREET
-----------------------------------------------------
City | LACOMBE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70445
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 985-882-3902
-----------------------------------------------------
Fax | 985-882-3394
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 849
-----------------------------------------------------
City | LACOMBE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70445
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 985-882-5977
-----------------------------------------------------
Fax | 985-882-6664
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF
-----------------------------------------------------
Name | MR. MICHAEL GEISSLER
-----------------------------------------------------
Credential | CHIEF
-----------------------------------------------------
Telephone | 985-882-5977
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------