MEDICARE: BUTLER TRANSPORTATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)		LA

General Provider Information

NPI Number	:	1598189045
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUTLER TRANSPORTATION

Provider Business Mailing Address
First Line	:	2800 YOUREE DR STE 205
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71104-3667
Country	:	US
Telephone Number	:	318-671-4341
Fax Number	:	318-670-7580

Provider Business Practice Location Address
First Line	:	2800 YOUREE DR STE 205
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71104-3667
Country	:	US
Telephone Number	:	318-671-4341
Fax Number	:	318-670-7580

Authorized Official
Title or Position	:	DIRECTOR
Name	:	FELECIA BUTLER
Credential	:
Telephone Number	:	318-572-0360

Provider Enumeration Date	:	02/04/2014
Last Update Date	:	02/04/2014

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Directions to “BUTLER TRANSPORTATION ” Practice Location

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